| The W Dental Group | |
|
13410 New Halls Ferry Rd Florissant MO 63033-3035 | |
| (314) 830-9663 | |
| (314) 830-9664 |
| Full Name | The W Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13410 New Halls Ferry Rd, Florissant, Missouri |
| Authorized Official Name and Position | Candace Therese Wakefield (OWNER) |
| Authorized Official Contact | 3148309663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The W Dental Group 13408 New Halls Ferry Rd Florissant MO 63033-3035 Ph: (314) 830-9663 | The W Dental Group 13410 New Halls Ferry Rd Florissant MO 63033-3035 Ph: (314) 830-9663 |
| NPI Number | 1477840387 |
|---|---|
| Provider Enumeration Date | 06/30/2011 |
| Last Update Date | 06/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477840387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2000175293 (Missouri) | Primary |
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