Wildhorse Dental Care, LLC
NPI #1194322990 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1194322990
- Entity Type
- Organization
- Organization Name
- Wildhorse Dental Care, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 5, 2020
- Last Updated
- Jul 13, 2021
Practice Location
- Address
- 191 CIVIC CENTER DR
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-3027
- Phone
- (636) 561-6400
Authorized Official
- Name
- DR. MATTHEW BOSCIA, DMD
- Title
- PRESIDENT
- Phone
- (636) 561-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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Organizations
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