Lifetime Dental Pllc | |
2200 S Minnesota Ave Sioux Falls SD 57105-3748 | |
(801) 694-7042 | |
Not Available |
Full Name | Lifetime Dental Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 2200 S Minnesota Ave, Sioux Falls, South Dakota |
Authorized Official Name and Position | Sara Robison (OWNER) |
Authorized Official Contact | 8016947042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifetime Dental Pllc 100 W 10th St Apt 1 Dell Rapids SD 57022-1223 Ph: () - | Lifetime Dental Pllc 2200 S Minnesota Ave Sioux Falls SD 57105-3748 Ph: (801) 694-7042 |
NPI Number | 1770055071 |
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Provider Enumeration Date | 12/26/2018 |
Last Update Date | 12/26/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770055071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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