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Individual

DR. THOMAS LEASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
443 N NEW BALLAS RD, STE. 215, SAINT LOUIS, MO 63141-6800
(314) 567-4430
(314) 567-3014
Mailing address
443 N NEW BALLAS RD, STE. 215, SAINT LOUIS, MO 63141-6800
(314) 567-4430
(314) 567-3014

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
011766
MO

Other

Enumeration date
11/03/2006
Last updated
07/08/2007
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