Organization
ROGER WALKENHORST D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER WELLS WALKENHORST D.D.S. (DENTIST)
(636) 239-2510
Entity
Organization
Contact information
Practice address
2008 E 5TH ST, WASHINGTON, MO 63090-3626
(636) 239-2510
(636) 239-1795
Mailing address
2008 E 5TH ST, WASHINGTON, MO 63090-3626
(636) 239-2510
(636) 239-1795
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12401
MO
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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