| NPI | 1588749675 |
|---|---|
| Professional Name | R WAYNE THOMPSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: KS 4563) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |