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Individual

DR. MICHAEL EMETT THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1093 HANCOCK RD, BULLHEAD CITY, AZ 86442-5904
(928) 704-0440
(928) 704-0442
Mailing address
1093 HANCOCK RD, BULLHEAD CITY, AZ 86442-5904
(928) 704-0440
(928) 704-0442

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D4606
AZ

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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