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Individual

DR. GREGORY PAUL THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS MD

Contact information

Practice address
676 N SAINT CLAIR ST, SUITE 2280, CHICAGO, IL 60611-2927
(312) 926-2929
(312) 926-3595
Mailing address
676 N SAINT CLAIR ST, SUITE 2280, CHICAGO, IL 60611-2927
(312) 926-2929
(312) 926-3595

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
40497
CA

Other

Enumeration date
11/01/2006
Last updated
09/06/2011
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