Individual
DANIELLE DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
107 6TH AVE NW, MANDAN, ND 58554-2609
(701) 663-0313
Mailing address
9310 SYCAMORE LN, BISMARCK, ND 58504-4230
(701) 471-5389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
787
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2021
Last updated
06/16/2021
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