TUAN THAI

BRIDGETON, MO
NPI1073175790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2019024063)
Enumeration Date2019-07-02
Last Update Date2019-07-02
Business Address
TUAN THAI DMD
12221 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044-2502
Phone number: 314-656-6615
Mailing Address
TUAN THAI DMD
4910 W PINE BLVD APT 511
SAINT LOUIS, MO 63108-1989
Phone number: 415-846-0684
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