Wydown Dental Group, Inc.

NPI 1568669349 - Dentist - 122300000X

NPI Details
NPI 1568669349
Enumeration Date 06/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAN H JAN
Position OWNER
Phone (314) 721-2346
Fax
Practice Location
510 S HANLEY RD
SAINT LOUIS MO, 63105-2038, US
Phone (314) 721-2346
Fax
Business Location
510 S HANLEY RD
SAINT LOUIS MO, 63105-2038, US
Phone (314) 721-2346
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Wydown Dental Group, Inc. NPI is 1568669349, taxonomy code is 122300000X Wydown Dental Group, Inc. physically located at 510 S Hanley Rd, Saint Louis MO, 63105-2038. NPI Number 1033115704 has the healthcare provider type.

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1568669349 NPI number is provided on an as is basis without warranty of any kind. 1568669349 is maintained by the National Plan & Provider Enumeration System. The contents of Wydown Dental Group, Inc. are for informational purposes only.