Individual
DALLAS MITCHELL THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
4818 POINT FOSDICK DR, GIG HARBOR, WA 98335-1711
(253) 851-6939
(253) 858-3203
Mailing address
1317 11TH LN # 288, FOX ISLAND, WA 98333-9661
(253) 549-2350
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
VA60898633
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VA60898633
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
12/20/2022
Last updated
12/20/2022
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