Thomas A Base Dmd

NPI 1235404492 - Dentist - 1223G0001X

NPI Details
NPI 1235404492
Enumeration Date 03/20/2012
Last Updated 03/20/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name THOMAS A THOMAS
Position OWNER/DENTIST
Phone (503) 256-2090
Fax
Practice Location
10420 NE WASCO ST
PORTLAND OR, 97220-3928, US
Phone (503) 256-2090
Fax
Business Location
10420 NE WASCO ST
PORTLAND OR, 97220-3928, US
Phone (503) 256-2090
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D6511
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According to our database, Thomas A Base Dmd NPI is 1235404492, taxonomy code is 1223G0001X and license number is D6511, license state is located at Oregon. Thomas A Base Dmd physically located at 10420 Ne Wasco St, Portland OR, 97220-3928. NPI Number 1033115704 has the healthcare provider type.

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1235404492 NPI number is provided on an as is basis without warranty of any kind. 1235404492 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas A Base Dmd are for informational purposes only.