| Dr Mary Thomas, A Professional Dental Corporation | |
|
8770 Cuyamaca St Suite 2 Santee CA 92071-4373 | |
| (619) 258-1171 | |
| (619) 258-3553 |
| Full Name | Dr Mary Thomas, A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 8770 Cuyamaca St, Santee, California |
| Authorized Official Name and Position | Mary Thomas (CEO/DENTIST) |
| Authorized Official Contact | 6192581171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Thomas, A Professional Dental Corporation 8770 Cuyamaca St Suite 2 Santee CA 92071-4373 Ph: (619) 258-1171 | Dr Mary Thomas, A Professional Dental Corporation 8770 Cuyamaca St Suite 2 Santee CA 92071-4373 Ph: (619) 258-1171 |
| NPI Number | 1114199288 |
|---|---|
| Provider Enumeration Date | 03/29/2008 |
| Last Update Date | 03/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114199288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44269 (California) | Primary |
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