| Kristi Thomas, Dds, Portable Practice, Pc | |
|
7310 Woodward Ave Ste 400 Detroit MI 48202-3165 | |
| (313) 576-2557 | |
| Not Available |
| Full Name | Kristi Thomas, Dds, Portable Practice, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7310 Woodward Ave, Detroit, Michigan |
| Authorized Official Name and Position | Kristi A Thomas (MANAGING OFFICER) |
| Authorized Official Contact | 3135762554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Thomas, Dds, Portable Practice, Pc 7310 Woodward Ave Ste 400 Detroit MI 48202-3165 Ph: (313) 576-2557 | Kristi Thomas, Dds, Portable Practice, Pc 7310 Woodward Ave Ste 400 Detroit MI 48202-3165 Ph: (313) 576-2557 |
| NPI Number | 1497115877 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 02/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497115877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901017876 (Michigan) | Primary |
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