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Individual

KIMBERLY TRASK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7131
Mailing address
21355 ELM SPRINGS RD, WASTA, SD 57791-7805

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0967
SD

Other

Enumeration date
05/05/2011
Last updated
09/18/2019
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