Individual
KELSI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1210 CLEAR LAKE RD, WEATHERFORD, TX 76086-5802
(817) 599-3336
Mailing address
2401 VIA VILLANI APT 2013, FORT WORTH, TX 76109-5547
(325) 277-2632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38882
TX
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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