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Organization

WATERTOWN CHIROPRACTIC P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN G DINGSOR DC (PRESIDENT/OWNER)
(605) 882-2304
Entity
Organization

Contact information

Practice address
2320 9TH AVE SE, WATERTOWN, SD 57201-7112
(605) 882-2304
Mailing address
2320 9TH AVE SE, WATERTOWN, SD 57201-7112
(605) 882-2304

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1021
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7601770
SD
Enumeration date
08/06/2007
Last updated
08/29/2013
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