Organization
REAUSAW-WILSON, DMD, P.C.
Active
Other names
All About Smiles Valley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA K REAUSAW-WILSON DMD (PRESIDENT)
(605) 786-7789
Entity
Organization
Contact information
Practice address
4215 BERNIECE ST, RAPID CITY, SD 57703-6410
(605) 343-6691
(605) 343-6731
Mailing address
4215 BERNIECE ST, RAPID CITY, SD 57703-6410
(605) 343-6691
(605) 343-6731
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D0819
SD
Other
Enumeration date
05/27/2016
Last updated
07/01/2016
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