Individual
DR. MALLORY C CICMANEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4904 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2864
(605) 335-8640
(605) 332-9956
Mailing address
4904 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2864
(605) 335-8640
(605) 332-9956
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
468
SD
Other
Enumeration date
05/19/2014
Last updated
10/08/2019
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