Organization
MANKE FAMILY DENTISTRY, PC
Active
Other names
Winner Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHARLES MANKE D.D.S. (OWNER/CEO)
(605) 842-2101
Entity
Organization
Contact information
Practice address
825 E 8TH ST, SUITE 203, WINNER, SD 57580-2634
(605) 842-2101
(605) 842-0493
Mailing address
825 E 8TH ST, SUITE 203, WINNER, SD 57580-2634
(605) 842-2101
(605) 842-0493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M989
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805410
—
SD
Enumeration date
12/30/2010
Last updated
12/30/2010
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