Individual
CALE SLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2425 W 57TH ST, SIOUX FALLS, SD 57108-5026
(605) 339-2040
(605) 339-4441
Mailing address
2425 W 57TH ST, SIOUX FALLS, SD 57108-5026
(605) 339-2040
(605) 339-4441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M874
SD
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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