NPI | 1821635392 |
---|---|
Doing Business As | THOMPSON FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | CRYSTAL MARIE CLAYCOMB Office Manager 502-868-5999 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-12-04 |
Last Update Date | 2019-12-04 |