Organization
SHAWD NEIGHBORHOOD DENTAL CLINIC BERESFORD P.C.
Active
Other names
Neighborhood Dental Beresford
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN D OLSON (HR MANAGER)
(605) 731-9599
Entity
Organization
Contact information
Practice address
116 E MAIN ST, BERESFORD, SD 57004-1819
(605) 763-5035
(605) 763-8036
Mailing address
116 E MAIN ST, BERESFORD, SD 57004-1819
(605) 763-5035
(605) 763-8036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0938
SD
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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