Organization
WYDOWN DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN H ROGERS DMD (OWNER)
(314) 721-2346
Entity
Organization
Contact information
Practice address
510 S HANLEY RD, SAINT LOUIS, MO 63105-2038
(314) 721-2346
Mailing address
510 S HANLEY RD, SAINT LOUIS, MO 63105-2038
(314) 721-2346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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