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Individual

EDWIN R THORP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
3628 MERIDIAN ST, STE 1A, BELLINGHAM, WA 98225-1735
(360) 733-2303
(360) 676-9414
Mailing address
3628 MERIDIAN ST, STE 1A, BELLINGHAM, WA 98225-1735
(360) 733-2303
(360) 676-9414

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00004724
WA
1223G0001X
General Practice Dentistry
DE00004724
WA
1223P0700X
Prosthodontics
4724
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1616TH
REGENCE
WA
01
5308
WDS
WA
Enumeration date
06/14/2005
Last updated
10/26/2009
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