Individual
MONTY RAY THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1220 W ARIZONA AVE, PARKER, AZ 85344-5647
(928) 669-2573
(928) 669-5953
Mailing address
1669 EMERALD DR, LAKE HAVASU CITY, AZ 86403-5669
(928) 854-2180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3834
AZ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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