Organization
SHERRI POETTKER DMD LLC
Active
Other names
Lakeside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI LYNN POETTKER DMD (DENTIST OWNER)
(636) 561-0800
Entity
Organization
Contact information
Practice address
3090 WINGHAVEN BLVD, O FALLON, MO 63368
(636) 561-0800
(636) 625-0088
Mailing address
3090 WINGHAVEN BLVD, O FALLON, MO 63368
(636) 561-0800
(636) 625-0088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2003000402
MO
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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