Individual
CHERYL LYNN SIXKILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1270 KOT-NUM RD, WARM SPRINGS, OR 97761-1209
(541) 553-1196
(541) 553-2135
Mailing address
1270 KOT-NUM RD, WARM SPRINGS, OR 97761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9921
OR
1223G0001X
General Practice Dentistry
Primary
6074
OK
Other
Enumeration date
08/27/2008
Last updated
06/05/2014
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