Organization · Type 2 NPI
Wedgewood Dental L.l.c.
Dental Clinic/Center · Rolla, MO
NPI number
1710376470
Active
Practice location
713 Salem Ave Ste A
Rolla, MO 65401-3444
Fax (573) 364-7326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 015865 (MO) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Rolla
About NPI 1710376470
Wedgewood Dental L.l.c.'s National Provider Identifier is 1710376470, issued on Jan 20, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rolla, MO. The record was last updated on Jan 20, 2015.