Wakefield, Candace Therese
Wakefield, Candace Therese is an sole proprietor health care provider with primary practice located at 10166 W Florissant Ave , Saint Louis MO 63136-2104. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Wakefield, Candace Therese can be contacted via phone (314) 867-5650.Contact Information
Primary practice address
10166 W Florissant Ave
Saint Louis MO 63136-2104
Phone: (314) 867-5650
Fax: (314) 867-5652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 2000175293 | Missouri |
Profile Details
| NPI number | 1780750570 |
|---|---|
| LBN Legal business name | Wakefield, Candace Therese |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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