Provider Demographics
NPI:1003171273
Name:THOMSON, KATHERINE ANITA (DDS)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ANITA
Last Name:THOMSON
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:8950 VILLA LA JOLLA DR
Mailing Address - Street 2:A207
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1714
Mailing Address - Country:US
Mailing Address - Phone:858-452-2800
Mailing Address - Fax:858-452-3795
Practice Address - Street 1:8950 VILLA LA JOLLA DR
Practice Address - Street 2:A207
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1714
Practice Address - Country:US
Practice Address - Phone:858-452-2800
Practice Address - Fax:858-452-3795
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA501051223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics