Individual
DR. JOHN JOSEPH WAHLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
915 N GRAND BLVD, VA MEDICAL CENTER, DENTAL SERVICE, 11F/8, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
458 PINE BEND DR, WILDWOOD, MO 63005-4933
(636) 728-0131
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
014800
MO
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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