Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 9855 | NC |
N | 122300000X | Dentist | DN1858253 | MA |
Y | 1223P0221X | Pediatric Dentist | 30.026367 | OH |
NPI | 1033528344 |
---|---|
Provider Name | Dr. Cynthia Denise Thomas |
First Address | Euclid, OH 44132-3691 |
Second Address | Euclid, OH 44132-3691 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2014 |
Last Update Date | 31/08/2021 |