DR. Larry Wilson Thomas, D.D.S.
NPI #1033226543 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1033226543
- Entity Type
- Individual
- Name
- DR. Larry Wilson Thomas, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S.
- Enumeration Date
- Aug 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11709 OLD BALLAS RD
- Address 2
- STE 200
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-7029
- Phone
- (314) 872-8590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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