Organization
THOMAS F. MOONEY, III, DDS, MDS, LLC
Active
Other names
Mooney Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS F. MOONEY III DDS, MDS (MEMBER / MANAGER)
(636) 970-4700
Entity
Organization
Contact information
Practice address
9018 PHOENIX PKWY, O FALLON, MO 63368-4278
(636) 970-4700
Mailing address
9018 PHOENIX PKWY, O FALLON, MO 63368-4278
(636) 970-4700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
015486
MO
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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