Thomas F. Mooney, Iii, Dds, Mds, Llc Valid NPI

Organization · Dental Clinic/Center · O Fallon, MO

NPI

1063761773

Type

Organization (Type 2)

Primary specialty

Dental Clinic/Center (Clinic/Center)

Specialty group

Ambulatory Health Care Facilities

Taxonomy code

261QD0000X

License number

015486 (MO)

Enumerated

2012-09-10

Last updated

2012-09-10