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1780750570
CANDACE THERESE WAKEFIELD
SAINT LOUIS, MO
NPI
1780750570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: MO 2000175293)
Enumeration Date
2006-11-26
Last Update Date
2007-07-08
Business Address
Dr. CANDACE THERESE WAKEFIELD D.M.D
10166 W FLORISSANT AVE
SAINT LOUIS, MO 63136-2104
Phone number: 314-867-5650
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Mailing Address
Dr. CANDACE THERESE WAKEFIELD D.M.D
1611 LOCUST ST UNIT 501
SAINT LOUIS, MO 63103-1857
Phone number: 314-588-1519
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