Individual
WILLIAM DONALD BAUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11423 LAKE ROAD, ROSHOLT, SD 57260
(605) 268-3606
Mailing address
11423 LAKE RD, ROSHOLT, SD 57260-7106
(605) 268-3606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1152
SD
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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