Organization
FLANDREAU DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FORD (OWNER)
(320) 247-0953
Entity
Organization
Contact information
Practice address
406 W PIPESTONE AVE, FLANDREAU, SD 57028-1617
(605) 997-3732
Mailing address
10955 ANGLER TRL, GREY EAGLE, MN 56336-4766
(320) 247-0953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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