Individual
JOSHUA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11223 SHAW AVE, MEADVILLE, PA 16335-3711
(814) 547-5617
Mailing address
529 BEVERLY DR, ERIE, PA 16505-2209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042413
PA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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