Shawd Nbd Brandon Pc | |
117 E Holly Blvd Brandon SD 57005-1131 | |
(605) 582-6522 | |
Not Available |
Full Name | Shawd Nbd Brandon Pc |
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Speciality | Clinic/center - Dental |
Location | 117 E Holly Blvd, Brandon, South Dakota |
Authorized Official Name and Position | Melissa Ryan (HR DIRECTOR) |
Authorized Official Contact | 6052618167 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shawd Nbd Brandon Pc 117 E Holly Blvd Brandon SD 57005-1131 Ph: (605) 582-6522 | Shawd Nbd Brandon Pc 117 E Holly Blvd Brandon SD 57005-1131 Ph: (605) 582-6522 |
NPI Number | 1689342743 |
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Provider Enumeration Date | 09/02/2021 |
Last Update Date | 09/02/2021 |
Identifier | Type | State | Issuer |
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1689342743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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