Individual
DR. MICHAEL A. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4104 WEST CRYSTAL LAKE RD, MCHENRY, IL 60050
(815) 344-2840
(815) 344-2859
Mailing address
4104 WEST CRYSTAL LAKE RD., MCHENRY, IL 60050
(815) 344-2840
(815) 344-2859
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019.026172
IL
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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