Organization
SANFORD I WAX DDS PC
Active
Other names
DBA Claymont Dental Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD I WAX DDS (PRESIDENT DENTIST OWNER)
(636) 227-1161
Entity
Organization
Contact information
Practice address
14897 CLAYTON RD, CHESTERFIELD, MO 63017
(636) 227-1161
(636) 227-1161
Mailing address
14897 CLAYTON RD, CHESTERFIELD, MO 63017
(636) 227-1161
(636) 227-1161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11565
MO
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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