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311 Walnut St Yankton SD 57078-4360 | |
| (605) 660-1652 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 311 Walnut St, Yankton, South Dakota |
| Authorized Official Name and Position | Paige Elwood (DENTIST/PRESIDENT) |
| Authorized Official Contact | 6056601652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
802 Brentwood Cir Yankton SD 57078-5154 Ph: () - | 311 Walnut St Yankton SD 57078-4360 Ph: (605) 660-1652 |
| NPI Number | 1508366147 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 02/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508366147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D0907 (South Dakota) | Primary |
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