| Crosswait Dental Practice Pc | |
|
1310 North Ave Spearfish SD 57783-1525 | |
| (605) 642-7760 | |
| Not Available |
| Full Name | Crosswait Dental Practice Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1310 North Ave, Spearfish, South Dakota |
| Authorized Official Name and Position | Robert George Crosswait (PRESIDENT) |
| Authorized Official Contact | 6056427760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosswait Dental Practice Pc 1310 North Ave Spearfish SD 57783-1525 Ph: (605) 642-7760 | Crosswait Dental Practice Pc 1310 North Ave Spearfish SD 57783-1525 Ph: (605) 642-7760 |
| NPI Number | 1790829398 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790829398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M-622 (South Dakota) | Primary |
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