Individual
DR. JOHN ANTHONY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3715 MAIN ST, SUITE 407, BRIDGEPORT, CT 06606-3618
(203) 372-7440
Mailing address
3715 MAIN ST, SUITE 407, BRIDGEPORT, CT 06606-3618
(203) 372-7440
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
003696
CT
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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