DERRICK LANE THOMPSON

LOS ANGELES, CA
NPI1760611875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  40893)
Enumeration Date2009-07-09
Last Update Date2009-07-09
Business Address
Dr. DERRICK LANE THOMPSON DDS
11645 WILSHIRE BLVD 703
LOS ANGELES, CA 90025-1708
Phone number: 310-479-4432
Mailing Address
Dr. DERRICK LANE THOMPSON DDS
8117 W MANCHESTER AVE 387
PLAYA DEL REY, CA 90293-8745
Phone number: 310-479-4432
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