DR. Jacky Clay Standlee, D.D.S.
NPI #1265442107 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1265442107
- Entity Type
- Individual
- Name
- DR. Jacky Clay Standlee, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- WESTSIDE DENTAL 994 DIAMOND RIDGE
- Address 2
- STE 202
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109
- Phone
- (573) 893-4402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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