Organization
FAMILY & IMPLANT DENTISTRY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD R KUSEK D.D.S. (DENTAL PRACTICE OWNER)
(605) 371-3443
Entity
Organization
Contact information
Practice address
4921 E 26TH ST, SUITE 1, SIOUX FALLS, SD 57110-6967
(605) 371-3443
(605) 371-3445
Mailing address
4921 E 26TH ST, SUITE 1, SIOUX FALLS, SD 57110-6967
(605) 371-3443
(605) 371-3445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M658
SD
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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