Candid South Dakota, Llc | |
519 W 22nd St Ste 100 Sioux Falls SD 57105-1745 | |
(860) 481-7631 | |
Not Available |
Full Name | Candid South Dakota, Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 519 W 22nd St Ste 100, Sioux Falls, South Dakota |
Authorized Official Name and Position | Richard D'avanzo (DDS) |
Authorized Official Contact | 8604817631 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Candid South Dakota, Llc 519 W 22nd St Ste 100 Sioux Falls SD 57105-1745 Ph: (860) 481-7631 | Candid South Dakota, Llc 519 W 22nd St Ste 100 Sioux Falls SD 57105-1745 Ph: (860) 481-7631 |
NPI Number | 1003423104 |
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Provider Enumeration Date | 09/23/2020 |
Last Update Date | 09/23/2020 |
Identifier | Type | State | Issuer |
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1003423104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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