CHILDREN'S DENTAL ZONE NPI 1700172806

NPI Information

CHILDREN'S DENTAL ZONE is a dental clinic center in Florissant, MO. CHILDREN'S DENTAL ZONE NPI is 1700172806. The provider is registered as an organization entity type.

The provider's business location address is:

13410 NEW HALLS FERRY RD
FLORISSANT, MO
ZIP 63033-035
Phone: (314) 830-9663
Fax: (314) 830-9664

The provider's authorized official is Candace Therese Wakefield .
The authorized official title is Owner and has the following contact phone number (314) 830-9663.

The CLIA number assigned to this NPI record is 26D2190789 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2011 and was last updated on 6/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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