Individual
DR. JEREMY V THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1630 FORTINO BLVD, PUEBLO, CO 81008-1856
(719) 545-2468
(719) 545-0815
Mailing address
1630 FORTINO BLVD, PUEBLO, CO 81008-1856
(719) 545-2468
(719) 545-0815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10500
CO
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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