Individual
DEREK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
938 CHESTER LN, KAYSVILLE, UT 84037-4212
(801) 995-5386
Mailing address
938 CHESTER LN, KAYSVILLE, UT 84037-4212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
RES.004785
OH
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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