Individual
CHRISTIAN MATHEW THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16223 MIRAMAR PKWY, MIRAMAR, FL 33027-4572
(954) 433-4544
Mailing address
4602 CR 673 # 10210, BUSHNELL, FL 33513-8358
(954) 817-0231
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN13411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071515800
—
FL
Enumeration date
10/04/2007
Last updated
12/20/2023
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