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Organization
SIOUX FALLS DENTAL IMPLANT CENTER, LLC
Active
Organization
SIOUX FALLS DENTAL IMPLANT CENTER, LLC
Active
Other names
The Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MOODY (OFFICE MANAGER)
(605) 716-5622
Entity
Organization
Contact information
Practice address
3409 W 47TH ST STE 103, SIOUX FALLS, SD 57106-6339
(605) 275-2009
(605) 274-2179
Mailing address
330 E STUMER RD, RAPID CITY, SD 57701-6406
(605) 716-5622
(605) 348-1626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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