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1730745456
MICHAEL THOMAS
SOUTH JORDAN, UT
NPI
1730745456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 11276187-9922)
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
MICHAEL THOMAS DMD
4775 W DAYBREAK PKWY STE 201
SOUTH JORDAN, UT 84009-5140
Phone number: 801-280-1911
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Mailing Address
MICHAEL THOMAS DMD
1838 N 1500 E
PROVO, UT 84604-5750
Phone number: 909-631-6501
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