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Individual

DR. SANFORD I WAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
14897 CLAYTON RD, CHESTERFIELD, MO 63017
(636) 227-1161
(636) 227-1161
Mailing address
14897 CLAYTON RD, CHESTERFIELD, MO 63017
(636) 227-1161
(636) 227-1161

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11565
MO

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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