Individual
DR. KAYLA JO DEJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5610 BENDT DR, RAPID CITY, SD 57702-9534
(605) 342-5995
Mailing address
931 9TH AVE NE, WATERTOWN, SD 57201-1819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1357
SD
Other
Enumeration date
04/05/2022
Last updated
06/09/2022
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