Individual
ASHLEY LAUREN WEGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 GRAVOIS RD, HOUSE SPRINGS, MO 63051-2304
(636) 321-0150
(636) 375-5157
Mailing address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 321-0101
(636) 296-0102
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2013016817
MO
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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