| Kenneth D Thompson DDS Inc | |
|
4213 Dale Rd Ste. 5 Modesto CA 95356-8505 | |
| (209) 545-4760 | |
| (209) 545-2166 |
| Full Name | Kenneth D Thompson DDS Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4213 Dale Rd, Modesto, California |
| Authorized Official Name and Position | Kenneth D Thompson (PRESIDENT) |
| Authorized Official Contact | 2095454760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth D Thompson DDS Inc 4213 Dale Rd Ste. 5 Modesto CA 95356-8505 Ph: (209) 545-4760 | Kenneth D Thompson DDS Inc 4213 Dale Rd Ste. 5 Modesto CA 95356-8505 Ph: (209) 545-4760 |
| NPI Number | 1194962852 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194962852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47812 (California) | Primary |
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