Individual
TUDOR LLOYD THOMAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 MARKET STREET, SUITE 1, LEWISBURG, PA 17837
(570) 523-1198
(570) 523-7014
Mailing address
500 MARKET STREET, SUITE 1, LEWISBURG, PA 17837
(570) 523-1198
(570) 523-7014
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS020330L
PA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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