Most Relevant Information
Provider Data
| NPI Number: | 1003659673 |
| Provider Name: | SUEGOL SADRI DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 2024019731 |
Most Important Dates
| Enumeration Date: | 06/13/2024 |
| Last Updated: | 06/13/2024 |
Provider Practice Location
1845 JEFFCO BLVD
ARNOLD
MO
630102714
Practice Location Phone/Fax
| Phone: | 8448538937 |
| Fax: |
Provider Mailing Location
1800 COMMUNITY
CLINTON
MO
647358804
Provider Mailing Phone/Fax
| Phone: | 6608858131 |
| Fax: |