Individual
DR. JESS TAYLOR THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
N84W15994 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-3036
(262) 251-6820
(262) 251-8081
Mailing address
N94W17900 APPLETON AVE, SUITE 100, MENOMONEE FALLS, WI 53051-8022
(262) 251-6820
(262) 251-8081
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6375-015
WI
Other
Enumeration date
01/04/2010
Last updated
12/22/2015
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