Individual
DR. ROGER WELLS WALKENHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2008 E 5TH ST, WASHINGTON, MO 63090-3608
(636) 239-2510
(636) 239-1795
Mailing address
2008 E 5TH ST, WASHINGTON, MO 63090-3608
(636) 239-2510
(636) 239-1795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012401
MO
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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