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Organization

COLLIN C. PALMQUIST DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA LYNN HELLER (OFFICE MANAGER)
(605) 886-8096
Entity
Organization

Contact information

Practice address
600 4TH ST NE, SUITE 201, WATERTOWN, SD 57201-1898
(605) 886-8096
(605) 886-1979
Mailing address
600 4TH ST NE, SUITE 201, WATERTOWN, SD 57201-1898
(605) 886-8096
(605) 886-1979

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DO609
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7809990
SD
Enumeration date
02/07/2008
Last updated
08/26/2008
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