Organization
WENTZVILLE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOSEPH WILMES DDS (DENTIST/OWNER)
(636) 332-2050
Entity
Organization
Contact information
Practice address
20 WENTZVILLE MARKET PL, WENTZVILLE, MO 63385-4430
(636) 332-2050
(636) 327-3999
Mailing address
20 WENTZVILLE MARKET PL, WENTZVILLE, MO 63385-4430
(636) 332-2050
(636) 327-3999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2001012908
MO
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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