Individual
DR. CHAD MORTENSEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
112 SECO DR, PORTLAND, TX 78374-1458
(361) 563-6213
(361) 853-4084
Mailing address
112 SECO DR, PORTLAND, TX 78374-1458
(361) 563-6213
(361) 853-4084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25211
TX
1223G0001X
General Practice Dentistry
D3200
ID
Other
Enumeration date
01/02/2007
Last updated
07/15/2015
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