Michael F. Cissell, DDS
NPI #1164707139 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1164707139
- Entity Type
- Individual
- Name
- Michael F. Cissell, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 20, 2011
- Last Updated
- Oct 20, 2011
Practice Location
- Address
- 1296 N HENKE RD
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-2121
- Phone
- (636) 561-1242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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