Individual
DR. CANDACE THERESE WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
10166 W FLORISSANT AVE, SAINT LOUIS, MO 63136-2104
(314) 867-5650
(314) 867-5652
Mailing address
1611 LOCUST ST, UNIT 501, SAINT LOUIS, MO 63103-1857
(314) 588-1519
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2000175293
MO
Other
Enumeration date
11/26/2006
Last updated
07/08/2007
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