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Wedgewood Dental L.l.c.
Dental Clinic/Center in Rolla, Missouri
NPI 1710376470

Wedgewood Dental L.l.c. is a Dental Clinic/Center based in Rolla, MO and is specialized in Dental. Wedgewood Dental L.l.c. practices in Rolla, MO. The NPI Number for Wedgewood Dental L.l.c. is 1710376470 and holds a License No. 015865 (Missouri).

The current practice location address for Wedgewood Dental L.l.c. is 713 Salem Ave Ste A, Rolla, MO and can be reached out via phone at 573-368-7325 and via fax at 573-364-7326.

Location: 713 Salem Ave Ste A, Rolla, MO, 65401-3444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710376470
Provider Name
Wedgewood Dental L.l.c.
Credential
Provider Entity Type
Organization
Address
713 Salem Ave Ste A, Rolla, MO, 65401-3444
Phone Number
573-368-7325
Fax Number
573-364-7326
Provider Enumeration Date
01/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
713 Salem Ave Ste A
City
Rolla
State
Missouri
Zip
65401-3444
Phone Number
573-368-7325
Fax Number
573-364-7326
person
Provider Business Mailing Address Details
Address
713 Salem Ave Ste A
City
Rolla
State
Missouri
Zip
65401-3444
Phone Number
573-368-7325
Fax Number
573-364-7326
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
015865 (Missouri)
Definition
Definition to come...
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