Organization
MARK T LAVIN DDS PC
Active
Other names
Mark T Lavin DDS Periodontics & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK THOMAS LAVIN DDS (DENTIST / PERIODONTIST)
(605) 332-6300
Entity
Organization
Contact information
Practice address
3400 E 26TH ST, SIOUX FALLS, SD 57103-4183
(605) 332-6300
(605) 332-6305
Mailing address
3400 E 26TH ST, SIOUX FALLS, SD 57103-4183
(605) 332-6300
(605) 332-6305
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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