Individual
AMANDA JEAN SCHWADERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
116 E MAIN ST, BERESFORD, SD 57004-1819
(605) 763-5035
(605) 763-8036
Mailing address
116 E MAIN ST, BERESFORD, SD 57004-1819
(605) 763-5035
(605) 763-8036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D0938
SD
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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