Organization
TODD J. WIND D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD J WIND (OWNER)
(314) 843-2078
Entity
Organization
Contact information
Practice address
12109 TESSON FERRY PROFESSIONAL CTR, SAINT LOUIS, MO 63128-1250
(314) 843-2078
Mailing address
12109 TESSON FERRY PROFESSIONAL CTR, SAINT LOUIS, MO 63128-1250
(314) 843-2078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001011238
DELTA DENTAL
MO
Enumeration date
04/15/2008
Last updated
04/15/2008
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