Individual
DR. ALEX WILSON BROESDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2400 W 41ST ST, SIOUX FALLS, SD 57105
(605) 929-1980
Mailing address
2400 W 41ST ST, SIOUX FALLS, SD 57105-6119
(605) 929-1980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1234
SD
Other
Enumeration date
04/16/2019
Last updated
06/24/2019
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