Organization
PRAIRIE RIDGE ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA KATHERINE EVANS (OFFICE MANAGER)
(605) 878-0180
Entity
Organization
Contact information
Practice address
600 4TH ST NE STE 101, WATERTOWN, SD 57201-1898
(605) 878-0180
(605) 878-0181
Mailing address
600 4TH ST NE STE 101, WATERTOWN, SD 57201-1898
(605) 878-0180
(605) 878-0181
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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