Dr Mary Thomas, a Professional Dental Corporation

NPI #1114199288 in Santee, California

Provider Information

NPI Number: 1114199288
Entity Type: Organization
Organization Name: Dr Mary Thomas, a Professional Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Mar 29, 2008
Last Updated: Mar 29, 2008

Practice Location

Address: 8770 CUYAMACA ST
Address 2: SUITE 2
City: Santee
State: California
ZIP Code: 92071-4373
Phone: (619) 258-1171

Authorized Official

Name: DR. MARY THOMAS, DDS
Title: CEO/DENTIST
Phone: (619) 258-1171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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