Individual
CRYSTAL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
940 ELLENDALE DR, MEDFORD, OR 97504-8216
(541) 779-9059
(541) 779-0226
Mailing address
940 ELLENDALE DR, MEDFORD, OR 97504-8216
(541) 779-9059
(541) 779-0226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10298
OR
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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