Individual
DR. THOMAS JAMES REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
856 SURREY LN, PETOSKEY, MI 49770-9027
(231) 347-3659
Mailing address
856 SURREY LN, PETOSKEY, MI 49770-9027
(231) 347-3659
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
9643
MI
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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