Individual
DR. RYAN K VANLAECKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.S.
Contact information
Practice address
600 4TH ST NE STE 103, WATERTOWN, SD 57201-1898
(605) 882-1500
(605) 882-7090
Mailing address
25 5TH ST NE, P O BOX 1450, WATERTOWN, SD 57201-3712
(605) 882-1500
(605) 882-7090
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
M817
SD
Other
Enumeration date
08/23/2007
Last updated
05/19/2020
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