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Organization

SHAWD NBD P.C.

Active
Other names
Neighborhood Dental
Organization subpart
No

Provider details

NPI number
Authorized official
NICK SHAWD (OWNER)
(605) 332-5712
Entity
Organization

Contact information

Practice address
3321 E 26TH ST STE 1, SIOUX FALLS, SD 57103-4144
(605) 332-5712
Mailing address
3321 E 26TH ST STE 1, SIOUX FALLS, SD 57103-4144

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M993
SD

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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