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