Larry Wilson Thomas D.D.S.

NPI 1033226543 - Dentist - 1223P0221X

NPI Details
NPI 1033226543
Gender Male
Enumeration Date 08/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11709 OLD BALLAS RD
STE 200
CREVE COEUR MO, 63141-7029, US
Phone (314) 872-8590
Fax (314) 872-3523
Business Location
11709 OLD BALLAS RD
STE 200
CREVE COEUR MO, 63141-7029, US
Phone (314) 872-8590
Fax (314) 872-3523
Toxanomy
Taxonomy Code 1223P0221X
License State Missouri
License Number 013698
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According to our database, Dr. Larry Wilson Thomas D.D.S. NPI is 1033226543, taxonomy code is 1223P0221X and license number is 013698, license state is located at Missouri. Larry Wilson Thomas D.D.S. physically located at 11709 Old Ballas Rd, Creve Coeur MO, 63141-7029. NPI Number Larry Wilson Thomas D.D.S. has the Individual type.

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1033226543 NPI number is provided on an as is basis without warranty of any kind. 1033226543 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Wilson Thomas D.D.S. are for informational purposes only.