Organization
WEDGEWOOD DENTAL L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. :LINDA KAY WESTMORELAND D.D.S. (OWNER)
(573) 368-7325
Entity
Organization
Contact information
Practice address
713 SALEM AVE STE A, ROLLA, MO 65401-3444
(573) 368-7325
(573) 364-7326
Mailing address
713 SALEM AVE STE A, ROLLA, MO 65401-3444
(573) 368-7325
(573) 364-7326
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
015865
MO
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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