Kenneth D Thompson DDS INC
NPI #1194962852 in Modesto, California
Provider Information
- NPI Number
- 1194962852
- Entity Type
- Organization
- Organization Name
- Kenneth D Thompson DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 15, 2009
- Last Updated
- Jan 15, 2009
Practice Location
- Address
- 4213 DALE RD
- Address 2
- STE. 5
- City
- Modesto
- State
- California
- ZIP Code
- 95356-8505
- Phone
- (209) 545-4760
Authorized Official
- Name
- KENNETH D THOMPSON, D.D.S.
- Title
- PRESIDENT
- Phone
- (209) 545-4760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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