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Organization
SHAWD NBD BRANDON PC
Active
Organization
SHAWD NBD BRANDON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RYAN (HR DIRECTOR)
(605) 261-8167
Entity
Organization
Contact information
Practice address
117 E HOLLY BLVD, BRANDON, SD 57005-1131
(605) 582-6522
Mailing address
117 E HOLLY BLVD, BRANDON, SD 57005-1131
(605) 582-6522
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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