NPIRadar

Christopher A Thomason, DMD Valid NPI

Individual provider · General Practice Dentistry · Eagle, ID

NPI
1730341827
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
D4136 (ID)
Sex
Male
Sole proprietor
Yes
Enumerated
2008-06-30
Last updated
2023-06-06
Practice location
151 Stierman Way
Eagle, ID 83616-5163
(208) 939-4111

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