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Organization
CHARLES F SCANLON II DDS MSD PC
Active
Organization
CHARLES F SCANLON II DDS MSD PC
Active
Other names
West River Periodontics and Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELSEY T LOWE (RECEPTIONIST)
(605) 721-1111
Entity
Organization
Contact information
Practice address
1761 TABLEROCK RD, RAPID CITY, SD 57701-5595
(605) 721-1111
(605) 721-1141
Mailing address
1761 TABLEROCK RD, RAPID CITY, SD 57701-5595
(605) 721-1111
(605) 721-1141
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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