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Dr. Tawana Kieshawn Ware, DDS
Pediatric Dentist in Creve Coeur, Missouri
NPI 1790852267

Tawana Kieshawn Ware is a Pediatric Dentist based in Saint Charles, MO and is specialized in Pediatric Dentistry. Tawana Kieshawn Ware practices in Creve Coeur, MO and has the professional credentials of DDS. The NPI Number for Tawana Kieshawn Ware is 1790852267 and holds a License No. 2004018645 (Missouri).

The current practice location address for Tawana Kieshawn Ware is 11709 Old Ballas Rd, Creve Coeur, MO and can be reached out via phone at 314-567-1122 and via fax at 314-567-0260.

Location: 11709 Old Ballas Rd, Creve Coeur, MO, 63303-5977
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790852267
Provider Name
Tawana Kieshawn Ware
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
11709 Old Ballas Rd, Creve Coeur, MO, 63303-5977
Phone Number
314-567-1122
Fax Number
314-567-0260
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11709 Old Ballas Rd
City
Creve Coeur
State
Missouri
Zip
63141
Phone Number
314-567-1122
Fax Number
314-567-0260
person
Provider Business Mailing Address Details
Address
11709 Old Ballas Rd
City
Creve Coeur
State
Missouri
Zip
63141
Phone Number
314-567-1122
Fax Number
314-567-0260
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2004018645 (Missouri)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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