Chanku Waste Dental Llc | |
118 Chanku Waste Rd Porcupine SD 57772-3099 | |
(605) 455-2052 | |
Not Available |
Full Name | Chanku Waste Dental Llc |
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Speciality | Dentist - General Practice |
Location | 118 Chanku Waste Rd, Porcupine, South Dakota |
Authorized Official Name and Position | David A Rempel (OWNER) |
Authorized Official Contact | 6054552052 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chanku Waste Dental Llc 118 Chanku Waste Rd Porcupine SD 57772-3099 Ph: (605) 455-2052 | Chanku Waste Dental Llc 118 Chanku Waste Rd Porcupine SD 57772-3099 Ph: (605) 455-2052 |
NPI Number | 1124776398 |
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Provider Enumeration Date | 03/16/2022 |
Last Update Date | 03/16/2022 |
Identifier | Type | State | Issuer |
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1124776398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |