Organization
KIMBERLY A. TRASK, D.D.S., PROF. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY TRASK (MEMBER)
(605) 864-0149
Entity
Organization
Contact information
Practice address
104 PHILIP AVE, PHILIP, SD 57567
(605) 859-2491
Mailing address
104 PHILIP AVE, PHILIP, SD 57567
(605) 864-0149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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