Individual
DR. THOMAS FRANCIS MOONEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MDS
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
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015486
MO
Other
Enumeration date
09/13/2005
Last updated
09/10/2012
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