Organization
WALDE ORTHODONTIC ASSOCIATES DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN C WALDE DDS, MS (OWNER, ORTHODONTIST)
(636) 239-5151
Entity
Organization
Contact information
Practice address
1507 HERITAGE HILLS DR, WASHINGTON, MO 63090-4614
(636) 239-5151
(636) 390-2728
Mailing address
1507 HERITAGE HILLS DR, WASHINGTON, MO 63090-4614
(636) 239-5151
(636) 390-2728
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
013936
MO
Other
Enumeration date
09/14/2006
Last updated
06/04/2014
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