Organization
THOMPSON MAINSTAY LLC
Active
Other names
Green Tree Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED MICHAEL THOMPSON DMD (MEMBER)
(503) 351-9043
Entity
Organization
Contact information
Practice address
1103 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-6666
Mailing address
1103 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-6666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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