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1689788598
KENNETH D THOMPSON
MODESTO, CA
NPI
1689788598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 47812)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Dr. KENNETH D THOMPSON D.D.S.
4213 DALE RD. SUITE 5
MODESTO, CA 95356
Phone number: 209-545-4760
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Mailing Address
Dr. KENNETH D THOMPSON D.D.S.
4213 DALE RD SUITE 5
MODESTO, CA 95356-8505
Phone number: 209-545-4760
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