Kelly R. Thomas, D.M.D

NPI #1508068347 in Beaverton, Oregon

Provider Information

NPI Number
1508068347
Entity Type
Individual
Name
Kelly R. Thomas, D.M.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D
Enumeration Date
Jun 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
12575 SW 3RD ST
State
Oregon
ZIP Code
97005-0517
Phone
(503) 644-7697

Specialties & Taxonomy Codes

Specialty
Dentist

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