Individual
DR. STACI CHENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1701 W SUNSHINE ST, SPRINGFIELD, MO 65807-2276
(417) 501-1048
Mailing address
1701 W SUNSHINE ST, SPRINGFIELD, MO 65807-2276
(417) 501-1048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017025275
MO
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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