Individual
DR. PRESTON WILLIAM THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
901 N MAIN ST, MOUNTAIN GROVE, MO 65711-1316
(417) 299-6130
Mailing address
901 N MAIN ST, MOUNTAIN GROVE, MO 65711-1316
(417) 299-6130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020025458
MO
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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