Individual
DR. HAROLD FRED WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 HAMPTON VILLAGE PLZ, SUITE 229, SAINT LOUIS, MO 63109-2128
(314) 353-1851
Mailing address
16 HAMPTON VILLAGE PLZ, SUITE 229, SAINT LOUIS, MO 63109-2128
(314) 353-1851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11974
MO
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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