Thom, Charles Jefferson

Thom, Charles Jefferson is an individual health care provider with primary practice located at 22922 Los Alisos Blvd Ste J, Mission Viejo CA 92691-2856. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Thom, Charles Jefferson can be contacted via phone (949) 855-0176.

Contact Information

Primary practice address
22922 Los Alisos Blvd Ste J Mission Viejo CA 92691-2856
Phone: (949) 855-0176
Fax: (949) 837-0171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30495 California

Profile Details

NPI number 1588653414
LBN Legal business name Thom, Charles Jefferson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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