Individual
KENT STEWART THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4115 MINERS TRL, LOOMIS, CA 95650-7733
(916) 223-6205
Mailing address
4115 MINERS TRL, LOOMIS, CA 95650-7733
(916) 223-6205
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36702
CA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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