Individual
DR. CEAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1725 DEODORA ST, SIMI VALLEY, CA 93065
(805) 577-6071
Mailing address
1725 DEODORA ST, SIMI VALLEY, CA 93065
(805) 577-6071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63458
CA
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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