Individual
DR. KENNETH RAY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2701 SE G ST, SUITE 9, BENTONVILLE, AR 72712
(479) 273-5345
(479) 273-5335
Mailing address
2701 SE G ST, SUITE 9, BENTONVILLE, AR 72712
(479) 273-5345
(479) 273-5335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1888
AR
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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