Individual
DR. KAITLYN MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1401 LIGHTHOUSE DR, UNIT 4126, NORTH MYRTLE BEACH, SC 29582-6894
(941) 840-8927
Mailing address
1401 LIGHTHOUSE DR, UNIT 4126, NORTH MYRTLE BEACH, SC 29582-6894
(941) 840-8927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD 8792
SC
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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