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Organization
MELISSA BRANDNER PROF. LLC
Active
Organization
MELISSA BRANDNER PROF. LLC
Active
Other names
Parkside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ANN BRANDNER D.D.S. (OWNER)
(605) 498-4746
Entity
Organization
Contact information
Practice address
910 N MAIN AVE, SUITE 101, TEA, SD 57064-0580
(605) 498-4746
(605) 498-9012
Mailing address
PO BOX 580, TEA, SD 57064-0580
(605) 498-4746
(605) 498-9012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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