Individual
DR. WALTER ROBERT PFITZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
1500 VANDIVER DR, STE 104, COLUMBIA, MO 65202-3932
(573) 814-1694
(573) 814-2845
Mailing address
12 WESTBURY DR, STE D, SAINT CHARLES, MO 63301-2543
(636) 925-2787
(636) 925-2829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10435
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10435
MO
1223X2210X
Orofacial Pain Dentistry
10435
MO
Other
Enumeration date
06/15/2005
Last updated
10/05/2021
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