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Organization
WOLKEN DENTAL D D S P C
Active
Organization
WOLKEN DENTAL D D S P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WOLKEN (OWNER)
(314) 727-6676
Entity
Organization
Contact information
Practice address
8888 LADUE RD, SAINT LOUIS, MO 63124-2056
(314) 727-6676
Mailing address
8888 LADUE RD, SAINT LOUIS, MO 63124-2056
(314) 727-6676
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2008014689
MO
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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