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Individual

DR. CORNELL C THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3737 N KINGS HIGHWAY, SUITE 108, ST LOUIS, MO 63115
(314) 389-9990
(314) 389-7722
Mailing address
3737 N KINGS HIGHWAY, SUITE 108, ST LOUIS, MO 63115
(314) 389-9990
(314) 389-7722

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12970
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400519328
MO
Enumeration date
05/20/2008
Last updated
05/20/2008
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