Individual
PROF. DONNA J KOCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH,BS
Contact information
Practice address
1323 BIA ROUTE 4, FORT THOMPSON, SD 57339-0200
(605) 245-1553
Mailing address
PO BOX 200, FORT THOMPSON, SD 57339-0200
(605) 245-1553
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
219
SD
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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