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Individual

MR. FRED RICK THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
216 SW 156TH ST, SUITE #B-1, SEATTLE, WA 98166-2566
(206) 246-0831
Mailing address
216 SW 156TH ST, SUITE #B-1, SEATTLE, WA 98166-2566
(206) 246-0831

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4720
WA

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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