Individual
ANGELIQUE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18860 W 10 MILE RD, SOUTHFIELD, MI 48075-2666
(248) 565-3331
Mailing address
29930 HYACINTH DR, SOUTHFIELD, MI 48076-2086
(248) 320-1701
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901022862
MI
Other
Enumeration date
07/03/2019
Last updated
01/21/2026
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