Organization
THOMPSON TOM, D.D.S., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMPSON TOM D.D.S. (PRESIDENT)
(925) 734-0748
Entity
Organization
Contact information
Practice address
5990 STONERIDGE DR STE 115, PLEASANTON, CA 94588-3234
(925) 734-0748
Mailing address
5990 STONERIDGE DR STE 115, PLEASANTON, CA 94588-3234
(925) 734-0748
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32623
CA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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