Individual
DR. CHASE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2851 S AVENUE B STE 13A, YUMA, AZ 85364
(928) 783-1017
Mailing address
2851 S AVENUE B STE 13A, YUMA, AZ 85364-7726
(928) 783-1017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008482
AZ
1223E0200X
Endodontics
Primary
D008482
AZ
390200000X
Student in an Organized Health Care Education/Training Program
058435
NY
Other
Enumeration date
07/09/2012
Last updated
06/29/2018
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