Individual
KALEB THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
(252) 335-4341
Mailing address
125 TULIP TREE DR, CAMDEN, NC 27921-8330
(801) 636-6571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10455
NC
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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