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Organization

SHAWD NEIGHBORHOOD DENTAL CLINIC P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS JON SHAWD D.D.S. (OWNER)
(605) 338-2251
Entity
Organization

Contact information

Practice address
229 W 39TH ST, STE. 100, SIOUX FALLS, SD 57105-5700
(605) 338-2251
(605) 338-2788
Mailing address
229 W 39TH ST, STE. 100, SIOUX FALLS, SD 57105-5700
(605) 338-2251
(605) 338-2788

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M993
SD

Other

Enumeration date
06/02/2008
Last updated
06/02/2008
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