Individual
DR. SYREETA TISHA MCTAVOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5920
Mailing address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-10183
IA
Other
Enumeration date
10/04/2010
Last updated
02/09/2024
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