Organization
SIOUX FALLS DENTAL IMPLANT CENTER, LLC
Active
Other names
The Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MOODY (OFFICE MANAGER)
(605) 716-5622
Entity
Organization
Contact information
Practice address
3409 W 47TH ST STE 103, SIOUX FALLS, SD 57106-6339
(605) 275-2009
(605) 274-2179
Mailing address
330 E STUMER RD, RAPID CITY, SD 57701-6406
(605) 716-5622
(605) 348-1626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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