Mid-America Dental Sleep Medicine LLC
NPI #1952714792 in Washington, Missouri
Provider Information
- NPI Number
- 1952714792
- Entity Type
- Organization
- Organization Name
- Mid-America Dental Sleep Medicine LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Jun 10, 2014
- Last Updated
- Jun 10, 2014
Practice Location
- Address
- 1507 HERITAGE HILLS DR
- City
- Washington
- State
- Missouri
- ZIP Code
- 63090-4614
- Phone
- (636) 239-5151
Authorized Official
- Name
- DR. KEVIN C WALDE, DDS MS
- Title
- OWNER
- Phone
- (636) 239-5151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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