Provider Demographics
NPI:1326115767
Name:THODAS, DENNIS S (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:S
Last Name:THODAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DENNIS
Other - Middle Name:S
Other - Last Name:THODAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:302 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:WILLOWS
Mailing Address - State:CA
Mailing Address - Zip Code:95988-2819
Mailing Address - Country:US
Mailing Address - Phone:530-934-7743
Mailing Address - Fax:530-934-5047
Practice Address - Street 1:302 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:WILLOWS
Practice Address - State:CA
Practice Address - Zip Code:95988-2819
Practice Address - Country:US
Practice Address - Phone:530-934-7743
Practice Address - Fax:530-934-5047
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA286321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice