Individual
DR. ROBERT WAXLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
410 SOVEREIGN CT, MANCHESTER, MO 63011-4400
(636) 391-0499
Mailing address
410 SOVEREIGN CT, MANCHESTER, MO 63011-4400
(636) 391-0499
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12402
MO
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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