Individual
DR. JONATHAN MAC THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1280 S KIHEI RD, SUITE 209, KIHEI, HI 96753-8240
(808) 879-1944
(808) 874-6187
Mailing address
PO BOX 869, KIHEI, HI 96753-0869
(808) 879-1944
(808) 874-6187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-2366
HI
Other
Enumeration date
06/13/2009
Last updated
01/09/2014
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