WAYNE THOMAS

DOVER, DE
NPI1518462373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: DE  G1-0001446)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-26
Last Update Date2019-07-11
Business Address
WAYNE THOMAS
1981 S STATE ST
DOVER, DE 19901
Phone number: 302-697-1152
Mailing Address
WAYNE THOMAS
1981 S STATE ST
DOVER, DE 19901-5811
Phone number: 302-697-1152