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1033226543
LARRY WILSON THOMAS
CREVE COEUR, MO
NPI
1033226543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: MO 013698)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
Dr. LARRY WILSON THOMAS D.D.S.
11709 OLD BALLAS RD STE 200
CREVE COEUR, MO 63141-7029
Phone number: 314-872-8590
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Mailing Address
Dr. LARRY WILSON THOMAS D.D.S.
11709 OLD BALLAS RD STE 200
CREVE COEUR, MO 63141-7029
Phone number: 314-872-8590
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