Individual
DR. JENNIFER L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1212 E 20TH ST, FARMINGTON, NM 87401-4215
(505) 327-6233
(505) 324-6442
Mailing address
1212 E 20TH ST, FARMINGTON, NM 87401-4215
(505) 327-6233
(505) 324-6442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3082
NM
1223G0001X
General Practice Dentistry
DD3082
NM
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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