Individual
WAYNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1981 S STATE ST, DOVER, DE 19901
(302) 697-1152
Mailing address
1981 S STATE ST, DOVER, DE 19901-5811
(302) 697-1152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001446
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
07/11/2019
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