Jacilyn Thomas, DDS

NPI #1144063249 in Minneapolis, Minnesota

Provider Information

NPI Number: 1144063249
Entity Type: Individual
Name: Jacilyn Thomas, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 17, 2024
Last Updated: Jun 28, 2024

Practice Location

Address: 1632 WASHINGTON ST NE
City: Minneapolis
State: Minnesota
ZIP Code: 55413-1336
Phone: (612) 789-2853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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