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Organization
THOMAS MAZURANIC DDS
Active
Organization
THOMAS MAZURANIC DDS
Active
Other names
Warrenton Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOSEPH MAZURANIC DDS (OWNER/DENTIST)
(314) 609-1660
Entity
Organization
Contact information
Practice address
122 E MAIN ST, WARRENTON, MO 63383-2004
(636) 456-4746
Mailing address
17 E GLENWOOD LN, KIRKWOOD, MO 63122-5118
(314) 609-1660
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2013016370
MO
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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