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Individual

DR. DAWN WATTENHOFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
318 MOUNT RUSHMORE RD STE A, RAPID CITY, SD 57701-2762
(605) 399-3937
(605) 399-5910
Mailing address
318 MOUNT RUSHMORE RD STE A, RAPID CITY, SD 57701-2762
(605) 399-3937
(605) 399-5910

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0553
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006985
BCBS OF SD
SD
05
9200982
SD
Enumeration date
03/16/2006
Last updated
01/12/2015
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