Individual
DR. KENNETH J. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4000 VIRGINIA ST, FAIRFAX, VA 22032-1047
(703) 273-1443
(703) 273-9186
Mailing address
6810 SHOLES CT, WARRENTON, VA 20187-3909
(703) 273-1443
(703) 273-9186
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410713
VA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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