Individual
DR. THOMAS CHARLES EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5518 TELEGRAPH ROAD, SUITE 101, ST. LOUIS, MO 63129
(314) 487-0333
(314) 487-0441
Mailing address
6616 TOWNE WOODS DR, SAINT LOUIS, MO 63129-4974
(314) 846-2471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12257
MO
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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