Individual
LAURA PRANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1110 W 5TH ST, CANTON, SD 57013-1543
(605) 987-2721
(605) 987-3312
Mailing address
PO BOX 9, CANTON, SD 57013-0009
(605) 987-2721
(605) 987-3312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1082
SD
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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