Organization
WALTER PFITZINGER, DDS, PC NO. 2
Active
Other names
Riverside Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER R PFITZINGER DDS (OWNER)
(877) 394-9994
Entity
Organization
Contact information
Practice address
214 PRODO DR, SUITE 104, JEFFERSON CITY, MO 65109-3904
(573) 893-3163
(573) 893-8629
Mailing address
214 PRODO DR, SUITE 104, JEFFERSON CITY, MO 65109-3904
(573) 893-3163
(573) 893-8629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015466
MO
1223G0001X
General Practice Dentistry
2008006645
MO
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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