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Organization
LIFETIME DENTAL PLLC
Active
Organization
LIFETIME DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ROBISON DMD (OWNER)
(801) 694-7042
Entity
Organization
Contact information
Practice address
2200 S MINNESOTA AVE, SIOUX FALLS, SD 57105-3748
(801) 694-7042
Mailing address
100 W 10TH ST APT 1, DELL RAPIDS, SD 57022-1223
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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