Organization
ELY @ THOMSON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY MARTIN THOMSON D.D.S. (PARTNER)
(352) 373-7373
Entity
Organization
Contact information
Practice address
4140 NW 27TH LN, SUITE H, GAINESVILLE, FL 32606-7473
(352) 373-7373
(352) 377-1225
Mailing address
4140 NW 27TH LN, SUITE H, GAINESVILLE, FL 32606-7473
(352) 373-7373
(352) 377-1225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7024
FL
Other
Enumeration date
09/13/2005
Last updated
06/17/2008
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