Individual
SHAINA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 W LEHIGH AVE, PHILADELPHIA, PA 19132-3207
(215) 227-0300
Mailing address
9839 VERREE RD, PHILADELPHIA, PA 19115-1927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040582
PA
Other
Enumeration date
09/09/2015
Last updated
10/02/2015
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