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Individual

DR. JAMIE E MAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
401 E SIOUX AVE, PIERRE, SD 57501-3162
(605) 224-8858
(605) 224-8859
Mailing address
401 E SIOUX AVE, PIERRE, SD 57501-3162
(605) 224-8858
(605) 224-8859

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M994
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7809990
SD
01
M994
SD LICENSE NUMBER
SD
Enumeration date
02/22/2007
Last updated
07/09/2007
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