Individual
DR. AMBER ANNE DETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1920 NORTH KIMBALL, MITCHELL, SD 57301
(605) 996-7786
Mailing address
1920 NORTH KIMBALL, MITCHELL, SD 57301
(605) 996-7786
(605) 996-5895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M838
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801500
—
SD
Enumeration date
06/07/2007
Last updated
07/08/2007
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