Individual
MRS. KATHERINE FAY WOLKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
340 MID RIVERS MALL DR, SUITE E, SAINT PETERS, MO 63376-1581
(636) 279-1633
Mailing address
29 NORTHCOTE RD, SAINT LOUIS, MO 63144-1054
(573) 690-0400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009013229
MO
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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