10th Street Dental | |
1709 E 10th St Sioux Falls SD 57103-1805 | |
(605) 261-5709 | |
Not Available |
Full Name | 10th Street Dental |
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Speciality | Clinic/center - Dental |
Location | 1709 E 10th St, Sioux Falls, South Dakota |
Authorized Official Name and Position | Megan Joann Diaz-freed (DENTIST) |
Authorized Official Contact | 6052615709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10th Street Dental 8604 S Quiet Oak Cir Sioux Falls SD 57108-4138 Ph: (605) 261-5709 | 10th Street Dental 1709 E 10th St Sioux Falls SD 57103-1805 Ph: (605) 261-5709 |
NPI Number | 1447766100 |
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Provider Enumeration Date | 12/18/2017 |
Last Update Date | 12/18/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447766100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D1000 (South Dakota) | Primary |
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