DR. Fredrick C. Thompson, DMD

NPI #1629107123 in Gresham, Oregon

Provider Information

NPI Number: 1629107123
Entity Type: Individual
Name: DR. Fredrick C. Thompson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1867 NW CIVIC DR
City: Gresham
State: Oregon
ZIP Code: 97030-5566
Phone: (503) 661-6613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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