Individual
VALERIE NS WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 841-4849
Mailing address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 841-4849
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028325
IL
1223P0221X
Pediatric Dentistry
Primary
021002590
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019028325
DENTAQUEST
IL
01
—
137000902
DENTAL SEDATION PERMIT
IL
Enumeration date
06/30/2010
Last updated
09/05/2023
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