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DR. AJA TRANISE THOMPSON
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1053698118
Individual Registrant:DR. AJA TRANISE THOMPSON
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5422 RIVER OAKS BLVD RIVER OAKS, TX 76114-3349 US
Tel: 817-984-8585 Fax: --
Tel: 817-984-8585 Fax: --
Contact information for business:
4207 LIVE OAK ST #2303 DALLAS, TX 75204-6705 US
Tel: 678-478-1091 Fax: --
Tel: 678-478-1091 Fax: --
Registration Information:
NPI: 1053698118
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | TX | 27014 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
