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1205145596
SYREETA TISHA MCTAVOUS
SIOUX CITY, IA
NPI
1205145596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IA DDS-10183)
Enumeration Date
2010-10-04
Last Update Date
2024-02-09
Business Address
Dr. SYREETA TISHA MCTAVOUS D.D.S.
1021 NEBRASKA ST
SIOUX CITY, IA 51105-1436
Phone number: 712-252-2477
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Mailing Address
Dr. SYREETA TISHA MCTAVOUS D.D.S.
1021 NEBRASKA ST
SIOUX CITY, IA 51105-1436
Phone number: 712-252-2477
Copy
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