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Organization
PAULSON DENTAL INC
Active
Organization
PAULSON DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL PAULSON DDS (DENTIST/OWNER)
(605) 336-1967
Entity
Organization
Contact information
Practice address
2521 S WESTERN AVE, SIOUX FALLS, SD 57105-3430
(605) 336-1967
Mailing address
2521 S WESTERN AVE, SIOUX FALLS, SD 57105-3430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D0833
SD
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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