Individual
DR. LARRY WILSON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11709 OLD BALLAS RD, STE 200, CREVE COEUR, MO 63141-7029
(314) 872-8590
(314) 872-3523
Mailing address
11709 OLD BALLAS RD, STE 200, CREVE COEUR, MO 63141-7029
(314) 872-8590
(314) 872-3523
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
013698
MO
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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