Dakota Dental

NPI 1154729457 - Dentist - 1223G0001X

NPI Details
NPI 1154729457
Enumeration Date 12/18/2014
Last Updated 12/18/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JACLYN JACLYN
Position OWNER
Phone (605) 332-6377
Fax
Practice Location
208 W 37TH ST
SIOUX FALLS SD, 57105-5704, US
Phone (605) 332-6377
Fax
Business Location
208 W 37TH ST
SIOUX FALLS SD, 57105-5704, US
Phone (605) 332-6377
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dakota Dental NPI is 1154729457, taxonomy code is 1223G0001X Dakota Dental physically located at 208 W 37th St, Sioux Falls SD, 57105-5704. NPI Number 1033115704 has the healthcare provider type.

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1154729457 NPI number is provided on an as is basis without warranty of any kind. 1154729457 is maintained by the National Plan & Provider Enumeration System. The contents of Dakota Dental are for informational purposes only.