Individual
DR. TEJJY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 S 16TH ST, SUITE 900, PHILADELPHIA, PA 19102-3322
(215) 545-2600
Mailing address
1801 BUTTONWOOD ST, SUITE 1507, PHILADELPHIA, PA 19130-3945
(215) 805-2333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
036917
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS036917
PA
Other
Enumeration date
01/22/2007
Last updated
04/20/2012
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