Individual
THOMAS J KEPIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
250 E 7TH ST STE D, UPLAND, CA 91786-6603
(909) 982-4169
(909) 981-2149
Mailing address
250 E 7TH ST STE D, UPLAND, CA 91786-6603
(909) 982-4169
(909) 981-2149
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
27008
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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