Individual
MARK ROY THOMASES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1247A BEACON ST, BROOKLINE, MA 02446
(617) 566-0103
Mailing address
21 ZELLER ST, ROSLINDALE, MA 02131
(617) 469-3510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16098
MA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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