Individual
WESLEY DELAINE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
915 N STREET SE, BLDG 175, 2ND FLOOR, WASHINGTON, DC 20374
(202) 433-0828
Mailing address
3220 15TH ST NE, WASHINGTON, DC 20017-2936
(202) 506-7916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1000615
DC
Other
Enumeration date
05/12/2008
Last updated
12/10/2015
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