Individual
MICHAEL D. HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3500 S KIWANIS AVE, SUITE 100, SIOUX FALLS, SD 57105-8119
(605) 336-3446
(605) 373-9269
Mailing address
3500 S KIWANIS AVE, SUITE 100, SIOUX FALLS, SD 57105-8119
(605) 336-3446
(605) 373-9269
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D0509
SD
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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