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Organization
MANKE FAMILY DENTISTRY, PC
Active
Organization
MANKE FAMILY DENTISTRY, PC
Active
Other names
Winner Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHARLES MANKE D.D.S. (OWNER/CEO)
(605) 842-2101
Entity
Organization
Contact information
Practice address
825 E 8TH ST, SUITE 203, WINNER, SD 57580-2634
(605) 842-2101
(605) 842-0493
Mailing address
825 E 8TH ST, SUITE 203, WINNER, SD 57580-2634
(605) 842-2101
(605) 842-0493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M989
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805410
—
SD
Enumeration date
12/30/2010
Last updated
12/30/2010
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