Organization
KONARD O. HAUFFE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONARD O HAUFFE D.D.S. (SOLE CORPORATION OWNER)
(605) 692-4715
Entity
Organization
Contact information
Practice address
717 MAIN AVE, BROOKINGS, SD 57006-1426
(605) 692-4715
(605) 692-2427
Mailing address
717 MAIN AVE, BROOKINGS, SD 57006-1426
(605) 692-4715
(605) 692-2427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M722
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806180
—
SD
Enumeration date
02/12/2007
Last updated
08/22/2020
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