Organization
KALEB C THOMPSON, DMD, PA IIII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE EMILY HASLAM (BUSINESS DIRECTOR)
(252) 335-4341
Entity
Organization
Contact information
Practice address
103 TANGLEWOOD PKWY N STE K, ELIZABETH CITY, NC 27909-9631
(252) 335-4341
Mailing address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
(252) 335-4341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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