Provider Demographics
NPI:1942307632
Name:THOMAS, BRENDA PEOPLES (DDS)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:PEOPLES
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BRENDAP
Other - Middle Name:PEOPLES
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2299 POST ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3441
Mailing Address - Country:US
Mailing Address - Phone:415-346-4488
Mailing Address - Fax:415-346-5273
Practice Address - Street 1:2299 POST ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3441
Practice Address - Country:US
Practice Address - Phone:415-346-4488
Practice Address - Fax:415-346-5273
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA352011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice