| NPI | 1861547705 |
|---|---|
| Doing Business As | SESSER DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM A MITROKA President CEO 618-724-2436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-01-25 |