Organization
ROBERT M. WAXLER, D.M.D.,M.S.,JEFFERY T. CAVANAUGH, D.D.S.,P.C.
Active
Other names
Century Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WAXLER D.M.D. (PRESIDENT)
(636) 391-0499
Entity
Organization
Contact information
Practice address
410 SOVEREIGN CT, STE 19, MANCHESTER, MO 63011-4400
(636) 391-0499
(636) 391-7340
Mailing address
410 SOVEREIGN CT, STE 19, MANCHESTER, MO 63011-4400
(636) 391-0499
(636) 391-7340
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12336653
MO
Other
Enumeration date
11/03/2005
Last updated
08/22/2020
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