Organization
KRISTI THOMAS, DDS, PORTABLE PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTI A THOMAS DDS (MANAGING OFFICER)
(313) 576-2554
Entity
Organization
Contact information
Practice address
7310 WOODWARD AVE, STE 400, DETROIT, MI 48202-3165
(313) 576-2557
Mailing address
7310 WOODWARD AVE, STE 400, DETROIT, MI 48202-3165
(313) 576-2557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017876
MI
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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