Organization
MELISSA BRANDNER PROF. LLC
Active
Other names
Parkside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ANN BRANDNER D.D.S. (OWNER)
(605) 498-4746
Entity
Organization
Contact information
Practice address
910 N MAIN AVE, SUITE 101, TEA, SD 57064-0580
(605) 498-4746
(605) 498-9012
Mailing address
PO BOX 580, TEA, SD 57064-0580
(605) 498-4746
(605) 498-9012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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