Individual
DR. BENJAMIN THRELKELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
399 SHERMAN AVE, SUITE 11, PALO ALTO, CA 94306-1863
(650) 323-6772
Mailing address
2901 TASMAN DR, SUITE 208, SANTA CLARA, CA 95054-1136
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11278T
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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