Missouri
Division of Professional Registration
Nikodem Dental
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2009029935
Date granted
09/28/2009
Date expires
06/01/2014
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
4337 Butler Hill Road Ste G
licensingmissouri.org
ID 2043451
LAST UPDATED 2026-04-28 09:07:32 UTC
LAST UPDATED 2026-04-28 09:07:32 UTC
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