Organization
HUNSTAD TOP GUM DENTAL LLC
Active
Other names
Top Gum Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK L HUNSTAD DDS (DENTIST)
(605) 201-3745
Entity
Organization
Contact information
Practice address
145 S MAIN AVE, TEA, SD 57064-2513
(605) 201-3745
Mailing address
145 S MAIN AVE, TEA, SD 57064-2513
(605) 201-3745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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