Warrenton Family Dental Care | |
122 E Main St Warrenton MO 63383-2004 | |
(636) 456-4746 | |
Not Available |
Full Name | Warrenton Family Dental Care |
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Speciality | Clinic/center - Dental |
Location | 122 E Main St, Warrenton, Missouri |
Authorized Official Name and Position | Thomas Joseph Mazuranic (OWNER/DENTIST) |
Authorized Official Contact | 3146091660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Warrenton Family Dental Care 17 E Glenwood Ln Kirkwood MO 63122-5118 Ph: (314) 609-1660 | Warrenton Family Dental Care 122 E Main St Warrenton MO 63383-2004 Ph: (636) 456-4746 |
NPI Number | 1326537630 |
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Provider Enumeration Date | 05/02/2018 |
Last Update Date | 05/02/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326537630 | NPI | - | NPPES |
1801236708 | Other | MO | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 2013016370 (Missouri) | Primary |
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