Wedgewood Dental L.l.c. | |
713 Salem Ave Ste A Rolla MO 65401-3444 | |
(573) 368-7325 | |
(573) 364-7326 |
Full Name | Wedgewood Dental L.l.c. |
---|---|
Speciality | Clinic/center - Dental |
Location | 713 Salem Ave Ste A, Rolla, Missouri |
Authorized Official Name and Position | :linda Kay Westmoreland (OWNER) |
Authorized Official Contact | 5733687325 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wedgewood Dental L.l.c. 713 Salem Ave Ste A Rolla MO 65401-3444 Ph: (573) 368-7325 | Wedgewood Dental L.l.c. 713 Salem Ave Ste A Rolla MO 65401-3444 Ph: (573) 368-7325 |
NPI Number | 1710376470 |
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Provider Enumeration Date | 01/20/2015 |
Last Update Date | 01/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710376470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 015865 (Missouri) | Primary |
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