Individual
DR. JACE ANDREW HANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 19TH ST SE # 3938, WATERTOWN, SD 57201-3938
(605) 886-2805
Mailing address
20 19TH ST SE # 3938, WATERTOWN, SD 57201-3938
(605) 886-2805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1440
SD
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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