Individual
MICHAEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1112A N 9TH ST, STROUDSBURG, PA 18360-1102
(570) 424-6005
Mailing address
2719 FOLSOM ST, PHILADELPHIA, PA 19130-1717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043974
PA
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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