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Dr. Derrick Lane Thompson, DDS
General Practice Dentistry in Los Angeles, California
NPI 1760611875

Derrick Lane Thompson is a General Practice Dentistry based in Playa Del Rey, CA and is specialized in General Practice. Derrick Lane Thompson practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Derrick Lane Thompson is 1760611875 and holds a License No. 40893 (California).

The current practice location address for Derrick Lane Thompson is 11645 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-479-4432 and via fax at 310-477-5283.

Location: 11645 Wilshire Blvd, Los Angeles, CA, 90293-8745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760611875
Provider Name
Derrick Lane Thompson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11645 Wilshire Blvd, Los Angeles, CA, 90293-8745
Phone Number
310-479-4432
Fax Number
310-477-5283
Provider Enumeration Date
07/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11645 Wilshire Blvd
City
Los Angeles
State
California
Zip
90025-1708
Phone Number
310-479-4432
Fax Number
310-477-5283
person
Provider Business Mailing Address Details
Address
11645 Wilshire Blvd
City
Los Angeles
State
California
Zip
90025-1708
Phone Number
310-479-4432
Fax Number
310-477-5283
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
40893 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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