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Organization

DENTAL TRANSFORMATIONS LLC

Active
Other names
Dental Transformations, Dental Transformation
Organization subpart
No

Provider details

NPI number
Authorized official
KALEB THOMPSON DMD (OWNER)
(252) 335-4341
Entity
Organization

Contact information

Practice address
3280 W 3500 S STE 3, WEST VALLEY, UT 84119-2688
(252) 335-4341
Mailing address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
(252) 335-4341

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/27/2022
Last updated
10/27/2022
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