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Organization
USD DENTAL CLINIC
Active
Organization
USD DENTAL CLINIC
Active
Parent organization
USD DENTAL HYGIENE OF VERMILLION
Organization subpart
Yes
Provider details
NPI number
Legal business name
USD DENTAL HYGIENE OF VERMILLION
Authorized official
ANN BRUNICK PROFESSOR (DEPARTMENT CHAIRPERSON)
(605) 677-5580
Entity
Organization
Contact information
Practice address
521 N MAIN AVE, SUITE 202, SIOUX FALLS, SD 57104-5948
(605) 367-8046
(605) 677-8048
Mailing address
521 N MAIN AVE, SUITE 202, SIOUX FALLS, SD 57104-5948
(605) 367-8046
(605) 677-8048
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D0802
SD
Other
Enumeration date
08/19/2008
Last updated
08/13/2010
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