STAS VIDYAKIN

SIKESTON, MO
NPI1285292193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2019019577)
Enumeration Date2019-06-05
Last Update Date2020-03-12
Business Address
STAS VIDYAKIN DMD
220 SOUTHLAND DR
SIKESTON, MO 63801-4403
Phone number: 573-471-4167
Mailing Address
STAS VIDYAKIN DMD
6738 STATE HIGHWAY 77
BENTON, MO 63736-8238
Phone number: 573-313-2500
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