Individual
DR. MAURI MILLARD THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
817 E 6TH ST, TISHOMINGO, OK 73460-1800
(580) 371-2392
(580) 421-6283
Mailing address
817 E 6TH ST, TISHOMINGO, OK 73460-1800
(580) 371-2392
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5522
OK
Other
Enumeration date
10/13/2006
Last updated
05/15/2015
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