# WEDGEWOOD DENTAL L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710376470
- **Authorized official:** DR. :LINDA KAY WESTMORELAND D.D.S. (OWNER)
- **Authorized official phone:** (573) 368-7325

## Contact information

- **Practice address:** 713 SALEM AVE STE A, ROLLA, MO 65401-3444
- **Practice address phone:** (573) 368-7325
- **Practice address fax:** (573) 364-7326
- **Mailing address:** 713 SALEM AVE STE A, ROLLA, MO 65401-3444
- **Mailing address phone:** (573) 368-7325
- **Mailing address fax:** (573) 364-7326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 015865 | MO | Yes |

## Other

- **Enumeration date:** 01/20/2015
- **Last updated:** 01/20/2015