Individual
DR. TRAVIS BJORDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1203 E 4TH AVE, SUITE 103, MILBANK, SD 57252-1562
(605) 432-5032
Mailing address
1203 E 4TH AVE STE 103, P.O. BOX 592, MILBANK, SD 57252-1558
(605) 432-5032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D630
SD
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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