Individual
DR. JONATHON B THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1175 W WICKENBURG WAY, SUITE 1, WICKENBURG, AZ 85390-2262
(928) 684-1145
Mailing address
1175 W WICKENBURG WAY, SUITE 1, WICKENBURG, AZ 85390-2262
(928) 684-1145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02769501
NJ
1223G0001X
General Practice Dentistry
Primary
D011701
AZ
Other
Enumeration date
06/04/2019
Last updated
06/26/2023
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