Individual
THOMAS MALCOLM WARREN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2655A OLD SHELL RD, MOBILE, AL 36607-2929
(251) 476-2848
(251) 476-9868
Mailing address
2655A OLD SHELL RD, MOBILE, AL 36607-2929
(251) 476-2848
(251) 476-9868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3205LN
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
738366
UNITED CONCORDIA NUMBER
AL
Enumeration date
06/02/2005
Last updated
07/08/2007
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