Ryan K Vanlaecken D.D.S. M.S.

NPI 1003009903 - Dentist - 1223X0400X

NPI Details
NPI 1003009903
Gender Male
Enumeration Date 08/23/2007
Last Updated 08/23/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
25 5TH ST NE
WATERTOWN SD, 57201-3712, US
Phone (605) 882-1500
Fax (605) 882-7090
Business Location
25 5TH ST NE
P O BOX 1450
WATERTOWN SD, 57201-3712, US
Phone (605) 882-1500
Fax (605) 882-7090
Toxanomy
Taxonomy Code 1223X0400X
License State South Dakota
License Number M817
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According to our database, Dr. Ryan K Vanlaecken D.D.S. M.S. NPI is 1003009903, taxonomy code is 1223X0400X and license number is M817, license state is located at South Dakota. Ryan K Vanlaecken D.D.S. M.S. physically located at 25 5th St Ne, Watertown SD, 57201-3712. NPI Number Ryan K Vanlaecken D.D.S. M.S. has the Individual type.

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1003009903 NPI number is provided on an as is basis without warranty of any kind. 1003009903 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan K Vanlaecken D.D.S. M.S. are for informational purposes only.