Organization
DUNES PEIODONTICS AND IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE DARLENE MENDOZA (OFFICE MGR)
(605) 540-4477
Entity
Organization
Contact information
Practice address
150 TOWER RD STE 110, DAKOTA DUNES, SD 57049-8000
(605) 540-4477
(605) 540-0210
Mailing address
150 TOWER RD STE 110, DAKOTA DUNES, SD 57049-8000
(605) 540-4477
(605) 540-0210
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D0905
SD
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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