Individual
DR. RONALD G MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
104 PHILIP AVE., PHILIP, SD 57567-1003
(605) 859-2491
Mailing address
P. O. BOX 1003, 104 PHILIP AVE., PHILIP, SD 57567-1003
(605) 859-2491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M-648
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780-4610
—
SD
Enumeration date
12/27/2007
Last updated
12/27/2007
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