Individual
DR. MATTHEW MARK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5308 4TH ST NW, ALBUQUERQUE, NM 87107-5206
(850) 883-8785
Mailing address
5308 4TH ST NW, ALBUQUERQUE, NM 87107-5206
(954) 554-5087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4256
NM
Other
Enumeration date
12/10/2010
Last updated
09/17/2015
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