Individual
MICHAEL STEVEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4135 WILSON AVE SW, CEDAR RAPIDS, IA 52404-6342
(319) 396-0700
(319) 396-4410
Mailing address
4135 WILSON AVE SW, CEDAR RAPIDS, IA 52404-6342
(319) 396-0700
(319) 396-4410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210450
—
IA
Enumeration date
03/07/2007
Last updated
07/08/2007
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