Organization
THEODORE B. THOMAS,III,DDS,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE BRANDON THOMAS III DDS (PRESIDENT)
(910) 592-6171
Entity
Organization
Contact information
Practice address
450 MCKOY ST, CLINTON, NC 28328-2844
(910) 592-6171
Mailing address
450 MCKOY ST, CLINTON, NC 28328-2844
(910) 592-6171
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4818
NC
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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