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804 N Euclid Ave Ste 1 Pierre SD 57501-1719 | |
| (605) 224-7345 | |
| (605) 224-0909 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 804 N Euclid Ave, Pierre, South Dakota |
| Authorized Official Name and Position | Connie Halverson (VP OF PUBLIC BENEFIT) |
| Authorized Official Contact | 6054942547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
804 N Euclid Ave Ste 1 Pierre SD 57501-1738 Ph: (605) 494-2547 | 804 N Euclid Ave Ste 1 Pierre SD 57501-1719 Ph: (605) 224-7345 |
| NPI Number | 1689859977 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689859977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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