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Search › California › 122300000X

Charles Thom, DDS

NPI 1588653414 · on the registry since 2005

Practice

Address
22922 Los Alisos Blvd
Ste J
Mission Viejo, CA 92691
Phone
(949) 855-0176
Fax
(949) 837-0171
Organisation at this address
Katherine Prodanovich Licensed Professional Clinical Counselor, Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California