Organization
SHAWD NBD 26TH P.C.
Active
Other names
Neighborhood Dental SF 26th
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN D OLSON (HR MANAGER)
(605) 731-9599
Entity
Organization
Contact information
Practice address
5110 W 26TH ST, UNIT 5, SIOUX FALLS, SD 57106-3520
(605) 759-5583
(605) 339-7682
Mailing address
5110 W 26TH ST, UNIT 5, SIOUX FALLS, SD 57106-3520
(605) 759-5583
(605) 339-7682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0935
SD
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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