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Organization
WINNER DENTAL CLINIC, PROF. LLC
Active
Organization
WINNER DENTAL CLINIC, PROF. LLC
Active
Other names
Winner Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY FARLEY DDS (OWNER DENTIST)
(605) 842-1793
Entity
Organization
Contact information
Practice address
911 GOLDEN PRAIRIE DR, WINNER, SD 57580-2176
(605) 842-1793
Mailing address
911 GOLDEN PRAIRIE DR, WINNER, SD 57580-2176
(605) 842-1793
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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