DR. Alex Ma Thor, DDS
NPI #1093880593 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1093880593
- Entity Type
- Individual
- Name
- DR. Alex Ma Thor, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3120 EDMONTON DR
- Address 2
- SUITE #400
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-4593
- Phone
- (608) 837-3949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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