Individual
DEVYN JEAN PRODOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 PRAIRIE AVE SW, DE SMET, SD 57231-2333
(605) 854-3444
Mailing address
3026 SUNNYVIEW DR, BROOKINGS, SD 57006-4280
(605) 695-7217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1321
SD
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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