Mitch Ty Carpenter-Thompson
NPI #1134746290 in Lake City, Michigan
Provider Information
- NPI Number
- 1134746290
- Entity Type
- Individual
- Name
- Mitch Ty Carpenter-Thompson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 6, 2020
- Last Updated
- Oct 7, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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