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1093880593
ALEX MA THOR
SUN PRAIRIE, WI
NPI
1093880593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 5630-15)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
DR. ALEX MA THOR DDS
3120 EDMONTON DR SUITE #400
SUN PRAIRIE, WI 53590-4593
Phone number: 608-837-3949
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Mailing Address
DR. ALEX MA THOR DDS
3120 EDMONTON DR SUITE #400
SUN PRAIRIE, WI 53590-4593
Phone number: 608-837-3949
Copy
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