Stas Vidyakin, DMD

NPI #1285292193 in Sikeston, Missouri

Provider Information

NPI Number: 1285292193
Entity Type: Individual
Name: Stas Vidyakin, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 5, 2019
Last Updated: Mar 12, 2020

Practice Location

Address: 220 SOUTHLAND DR
City: Sikeston
State: Missouri
ZIP Code: 63801-4403
Phone: (573) 471-4167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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