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Organization

SHAWN LEE THOMPSON DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN LEE THOMPSON DDS (PRESIDENT)
(419) 287-4910
Entity
Organization

Contact information

Practice address
401 W COLLEGE AVE, PEMBERVILLE, OH 43450-9495
(419) 287-4910
Mailing address
401 W COLLEGE AVE, PEMBERVILLE, OH 43450-9495
(419) 287-4910

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20609
OH

Other

Enumeration date
12/04/2011
Last updated
12/04/2011
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