# THOMAS MAZURANIC DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Warrenton Family Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326537630
- **Authorized official:** DR. THOMAS JOSEPH MAZURANIC DDS (OWNER/DENTIST)
- **Authorized official phone:** (314) 609-1660

## Contact information

- **Practice address:** 122 E MAIN ST, WARRENTON, MO 63383-2004
- **Practice address phone:** (636) 456-4746
- **Mailing address:** 17 E GLENWOOD LN, KIRKWOOD, MO 63122-5118
- **Mailing address phone:** (314) 609-1660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2013016370 | MO | Yes |

## Other

- **Enumeration date:** 05/02/2018
- **Last updated:** 05/02/2018