Individual
JOAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(888) 662-0859
Mailing address
45 LOURDES DR, LEOMINSTER, MA 01453-6709
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21283
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1319833
—
MA
Enumeration date
12/18/2006
Last updated
06/13/2014
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