Organization
CHARLES R CLIFFORD JR, DDS-WAYNE E FISCHER, DDS INC
Active
Other names
M-RH Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE E FISCHER D.D.S (DENTIST)
(314) 645-0396
Entity
Organization
Contact information
Practice address
3004 SUTTON BLVD, SAINT LOUIS, MO 63143-3016
(314) 645-0396
(314) 645-6163
Mailing address
3004 SUTTON BLVD, SAINT LOUIS, MO 63143-3016
(314) 645-0396
(314) 645-6163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11942
MO
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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