Organization
DENTAL CLINIC PARTNERSHIP LLC
Active
Other names
The Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER A DETERMAN DDS (OWNER PARTNER)
(605) 729-2671
Entity
Organization
Contact information
Practice address
621 2ND STREET, BRIDGEWATER, SD 57319
(605) 729-2671
(605) 729-2671
Mailing address
PO BOX 100, 621 2ND STREET, BRIDGEWATER, SD 57319
(605) 729-2671
(605) 729-2671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800550
—
SD
05
—
7801500
—
SD
Enumeration date
05/25/2007
Last updated
08/22/2020
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