Organization
ROBERT D THOMPSON DDS PA
Active
Other names
Bass Lake Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DUANE THOMPSON DDS (OWNER)
(763) 533-5359
Entity
Organization
Contact information
Practice address
7123 BASS LAKE RD, NEW HOPE, MN 55428-3822
(763) 533-5359
(763) 533-0010
Mailing address
7123 BASS LAKE RD, NEW HOPE, MN 55428-3822
(763) 533-5359
(763) 533-0010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7363
MN
Other
Enumeration date
10/05/2006
Last updated
07/01/2008
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