Individual
DR. TAWANA KIESHAWN WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11709 OLD BALLAS RD, SUITE 104, CREVE COEUR, MO 63141
(314) 567-1122
(314) 567-0260
Mailing address
2050 BLUESTONE DR, SAINT CHARLES, MO 63303-5977
(636) 946-5225
(636) 946-5005
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2004018645
MO
Other
Enumeration date
11/29/2006
Last updated
10/02/2007
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