Organization
CRIST & WENADE ORTHODONTICS PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS L CRIST DDS,MA,MS (CEO)
(605) 361-0016
Entity
Organization
Contact information
Practice address
3500 S MARION RD, SIOUX FALLS, SD 57106-1370
(605) 361-0016
(605) 361-0019
Mailing address
3500 S MARION RD, SIOUX FALLS, SD 57106-1370
(605) 361-0016
(605) 361-0019
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
M842
SD
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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