Organization
DR. CLARENCE L. THOMAS III, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE L THOMAS III DDS (OWNER)
(937) 372-4454
Entity
Organization
Contact information
Practice address
442 N DETROIT ST, XENIA, OH 45385-2234
(937) 372-4454
(937) 372-5994
Mailing address
442 N DETROIT ST, XENIA, OH 45385-2234
(937) 372-4454
(937) 372-5994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19941
OH
122300000X
Dentist
30021080
OH
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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