TAWANA KIESHAWN WARE

CREVE COEUR, MO
NPI1790852267
Former NameTAWANA KIESHAWN LEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: MO  2004018645)
Enumeration Date2006-11-29
Last Update Date2007-10-02
Business Address
Dr. TAWANA KIESHAWN WARE DDS
11709 OLD BALLAS RD SUITE 104
CREVE COEUR, MO 63141
Phone number: 314-567-1122
Mailing Address
Dr. TAWANA KIESHAWN WARE DDS
2050 BLUESTONE DR
SAINT CHARLES, MO 63303-5977
Phone number: 636-946-5225