Organization
ROBERT M. WAXLER, D.M.D.,M.S.,JEFFERY T. CAVANAUGH, D.D.S.,P.C.
Active
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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