Individual
MR. CURTIS THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6962
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6962
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902015814
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770666364
CHAMPS
MI
01
—
2902015814
DEPARTMENT OF COMMUNITY HEALTH
MI
Enumeration date
11/21/2015
Last updated
11/21/2015
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