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Organization

FREED DENTAL PROF. L.L.C.

Active
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Organization

FREED DENTAL PROF. L.L.C.

Active
Other names
10th Street Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MEGAN JOANN DIAZ-FREED D.D.S. (DENTIST)
(605) 261-5709
Entity
Organization

Contact information

Practice address
1709 E 10TH ST, SIOUX FALLS, SD 57103-1805
(605) 261-5709
Mailing address
8604 S QUIET OAK CIR, SIOUX FALLS, SD 57108-4138
(605) 261-5709

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D1000
SD

Other

Enumeration date
12/18/2017
Last updated
12/18/2017
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