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Individual

DR. KELSEY SUE SHARPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
521 N MAIN AVE, SIOUX FALLS, SD 57104-5948
(605) 367-8046
Mailing address
PO BOX 90211, SIOUX FALLS, SD 57109-0211
(605) 212-6121

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
TEMP298
SD
1223G0001X
General Practice Dentistry
D12579
MN

Other

Enumeration date
06/23/2008
Last updated
09/01/2010
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