Organization

Kristi Thomas, Dds, Portable Practice, Pc

General Practice Dentistry in Detroit, MI(View on Map)

Legal Business Name

Kristi Thomas, Dds, Portable Practice, Pc

NPI Number

1497115877

NPI Type

Organization

Enumeration Date

02/29/2016

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

2901017876

Contact
Information

Purpose

Mailing
Location

Address

7310 WOODWARD AVE
7310 WOODWARD AVE

City

Detroit
Detroit

State

MI
MI

Postal Code

48202-3165
48202-3165

Country

US
US

Telephone Number

(313) 576-2557
(313) 576-2557

Authorized Official

Name

Dr. Kristi Thomas

Title or Position

MANAGING OFFICER

Telephone Number

(313) 576-2554

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/29/2016

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