Organization
COMPLETE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VITALY PERETS DDS (DENTIST)
(817) 807-7073
Entity
Organization
Contact information
Practice address
4001 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57103-5305
(817) 807-7073
Mailing address
4001 S SOUTHEASTERN AVE, SIOUX FALLS, SD 57103-5305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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