Individual
HAROLD R THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
228 VILLAGE DR, PAGOSA SPRINGS, CO 81147
(970) 731-2126
(970) 731-2135
Mailing address
228 VILLAGE DR, PAGOSA SPRINGS, CO 81147
(970) 731-2126
(970) 731-2135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104907
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02049070
—
CO
Enumeration date
08/02/2006
Last updated
07/08/2007
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