Individual
DR. LELAND R THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
35 E 400 S, EPHRAIM, UT 84627
(435) 283-4081
(435) 283-6151
Mailing address
35 E 400 S, P.O. BOX 816, EPHRAIM, UT 84627
(435) 283-4081
(435) 283-6151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
137852-9922
UT
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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