Individual
DR. FRED ELMO THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1600 REPUBLIC PKWY, SUITE 210, MESQUITE, TX 75150-6918
(972) 686-1000
(972) 686-2231
Mailing address
1600 REPUBLIC PKWY, SUITE 210, MESQUITE, TX 75150-6918
(972) 686-1000
(972) 686-2231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12339
TX
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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