| NPI | 1730329509 |
|---|---|
| Other Name | BETH A THOMPSON |
| Entity Type | Organization |
| Authorized Contact | BETH A THOMPSON Owner 386-846-8956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA 8897) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |