Individual
MARK HERMAN PRIGGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
504 TANNER ST, SIKESTON, MO 63801
(573) 472-3032
(573) 472-3382
Mailing address
504 TANNER ST, SIKESTON, MO 63801
(573) 472-3032
(573) 472-3382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015660
MO
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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