KELLY R. THOMAS

BEAVERTON, OR
NPI1508068347
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OR  D6393)
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
-- KELLY R. THOMAS D.M.D
12575 SW 3RD ST
BEAVERTON, OR 97005-0517
Phone number: 503-644-7697
Mailing Address
-- KELLY R. THOMAS D.M.D
12575 SW 3RD ST
BEAVERTON, OR 97005-0517
Phone number: 503-644-7697
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