Individual
DR. SUJATHA SEKAR SIVARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2475 BROADWAY BLUFFS DR, COLUMBIA, MO 65201-8148
(573) 777-9282
(573) 777-9569
Mailing address
1001 W WORLEY ST, COLUMBIA, MO 65203-2037
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2005026619
MO
1223P0221X
Pediatric Dentistry
Primary
2024008518
MO
Other
Enumeration date
10/26/2005
Last updated
07/25/2024
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