Preventative Dental Llc

NPI 1225417355 - Dentist - 122300000X

NPI Details
NPI 1225417355
Enumeration Date 05/21/2015
Last Updated 05/21/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEANNE JEANNE
Position OFFICE MANAGER
Phone (605) 882-3060
Fax (605) 882-0681
Practice Location
1155 4TH ST NE
WATERTOWN SD, 57201-1202, US
Phone (605) 882-3060
Fax (605) 882-0681
Business Location
1155 4TH ST NE
WATERTOWN SD, 57201-1202, US
Phone (605) 882-3060
Fax (605) 882-0681
Toxanomy
Taxonomy Code 122300000X
License State South Dakota
License Number M983
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According to our database, Preventative Dental Llc NPI is 1225417355, taxonomy code is 122300000X and license number is M983, license state is located at South Dakota. Preventative Dental Llc physically located at 1155 4th St Ne, Watertown SD, 57201-1202. NPI Number 1033115704 has the healthcare provider type.

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1225417355 NPI number is provided on an as is basis without warranty of any kind. 1225417355 is maintained by the National Plan & Provider Enumeration System. The contents of Preventative Dental Llc are for informational purposes only.