Individual
JESSICA PICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGENTIST
Contact information
Practice address
6724 STATE HIGHWAY 77, BENTON, MO 63736-8238
(573) 545-4191
(573) 545-4425
Mailing address
PO BOX 400, NEW MADRID, MO 63869-0400
(573) 748-2404
(573) 748-2554
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2006038578
MO
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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