John W. Thane DDS

NPI 1083771638 - Dentist - 1223G0001X

NPI Details
NPI 1083771638
Gender Male
Enumeration Date 01/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
414 HAZEL ST
TEXARKANA AR, 71854-5215, US
Phone (870) 772-9681
Fax
Business Location
414 HAZEL ST
TEXARKANA AR, 71854-5215, US
Phone (870) 772-9681
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arkansas
License Number 1997
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According to our database, Dr. John W. Thane DDS NPI is 1083771638, taxonomy code is 1223G0001X and license number is 1997, license state is located at Arkansas. John W. Thane DDS physically located at 414 Hazel St, Texarkana AR, 71854-5215. NPI Number John W. Thane DDS has the Individual type.

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1083771638 NPI number is provided on an as is basis without warranty of any kind. 1083771638 is maintained by the National Plan & Provider Enumeration System. The contents of John W. Thane DDS are for informational purposes only.