Individual
DR. DEREK C THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2100 S 14TH ST, UNION GAP, WA 98903-1252
(509) 457-6300
Mailing address
707 BEACON AVE, YAKIMA, WA 98901-1577
(509) 457-6300
(509) 248-7438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
721548754
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5038799
—
WA
Enumeration date
04/23/2007
Last updated
07/09/2007
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