EDDIE M THOMPSON D.M.D., PA
Dentist at Hiawassee Rd, Orlando, FL

License number
Florida DN 11716
Category
Dentist
Type
General Practice
Owner
Name: EDDIE M THOMPSON D.M.D.
Title: PRESIDENT
Phone: (407) 297-0689
Address
Address
2726 N Hiawassee Rd, Orlando, FL 32818
National Provider ID: 1770791568
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDDIE M. THOMPSON, D.M.D., PA

2726 N Hiawassee Rd, Orlando, FL 32818

Status:
Inactive
Inactive reason:
Admin Dissolution For Annual Report
Registration:
Jul 19, 2004
Inactive since:
Sep 23, 2011
State ID:
P04000107200
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director:
Eddie M Thompson President, Treasurer, Secretary, Director, inactive, 2726 N Hiawassee Rd, Orlando, FL 32818 (Physical)
Agent:
Eddie Thompson,2726 N Hiawassee Rd, Orlando, FL 32818 (Physical)
EIN:
43-2056010

Dentist licenses in Florida