Individual
DR. JOHN WILLIAM TABASH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4224 WATSON RD, SAINT LOUIS, MO 63109-1210
(314) 353-5430
(314) 832-1230
Mailing address
4224 WATSON RD, SAINT LOUIS, MO 63109-1210
(314) 353-5430
(314) 832-1230
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
013622
MO
Other
Enumeration date
01/03/2006
Last updated
07/08/2007
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