Individual
DR. WILLIAM KENNETH TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
620 S DORA ST, SUITE 205, UKIAH, CA 95482-5466
(707) 462-6983
Mailing address
620 S DORA ST, SUITE 205, UKIAH, CA 95482-5466
(707) 462-6983
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37747
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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