| NPI | 1134340102 |
|---|---|
| Doing Business As | SIKESTON DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JONES CEO 573-748-2404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-07-22 |