Organization
REGGIE D. THOMAS, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA J. THOMAS (OFFICE MANAGER)
(918) 455-0123
Entity
Organization
Contact information
Practice address
2109 W WASHINGTON ST, BROKEN ARROW, OK 74012-6801
(918) 455-0123
(918) 455-2311
Mailing address
2109 W WASHINGTON ST, BROKEN ARROW, OK 74012-6801
(918) 455-0123
(918) 455-2311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4739
OK
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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