Individual
LISA MICHELLE THOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
5701 NE BOTHELL WAY, SUITE 6, KENMORE, WA 98028-9400
(425) 486-2715
(425) 486-5782
Mailing address
5701 NE BOTHELL WAY, SUITE 6, KENMORE, WA 98028-9400
(425) 486-2715
(425) 486-5782
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
6892
WA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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