Organization
REBECCA SISCEL DDS PC
Active
Other names
Rebecca Siscel DDS
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA PICKENS SISCEL DDS PC (OWNER DENTIST)
(314) 966-7707
Entity
Organization
Contact information
Practice address
139 WEST MONROE AVE, KIRKWOOD, MO 63122
(314) 966-7707
(314) 966-9969
Mailing address
139 WEST MONROE AVE, KIRKWOOD, MO 63122
(314) 966-7707
(314) 966-9969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014720
MO
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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