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1409 6th Ave Se Aberdeen SD 57401-4950 | |
| (605) 225-2236 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1409 6th Ave Se, Aberdeen, South Dakota |
| Authorized Official Name and Position | Darold D Opp (CEO/OWNER) |
| Authorized Official Contact | 6052252236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1409 6th Ave Se Aberdeen SD 57401-4950 Ph: (605) 225-2236 | 1409 6th Ave Se Aberdeen SD 57401-4950 Ph: (605) 225-2236 |
| NPI Number | 1366721268 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 08/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366721268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M0651 (South Dakota) | Primary |
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