Houska Dental Clinic

NPI 1053606053 - Clinic/Center - 261QD0000X

NPI Details
NPI 1053606053
Enumeration Date 06/17/2011
Last Updated 06/17/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RANDY RANDY
Position OWNER/DENTIST
Phone (605) 624-3031
Fax (605) 624-8084
Practice Location
1302 E MAIN ST
VERMILLION SD, 57069-2813, US
Phone (605) 624-3031
Fax (605) 624-8084
Business Location
1302 E MAIN ST
VERMILLION SD, 57069-2813, US
Phone (605) 624-3031
Fax (605) 624-8084
Toxanomy
Taxonomy Code 261QD0000X
License State South Dakota
License Number M724
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According to our database, Houska Dental Clinic NPI is 1053606053, taxonomy code is 261QD0000X and license number is M724, license state is located at South Dakota. Houska Dental Clinic physically located at 1302 E Main St, Vermillion SD, 57069-2813. NPI Number 1033115704 has the healthcare provider type.

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1053606053 NPI number is provided on an as is basis without warranty of any kind. 1053606053 is maintained by the National Plan & Provider Enumeration System. The contents of Houska Dental Clinic are for informational purposes only.