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Organization

SOUTHEASTERN DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL KOHLER (OWNER/DENTIST)
(605) 335-8030
Entity
Organization

Contact information

Practice address
2851 E JACKSON ST, SIOUX FALLS, SD 57108-3511
(605) 335-8030
(605) 335-0984
Mailing address
2851 E JACKSON ST, SIOUX FALLS, SD 57108-3511
(605) 335-8030
(605) 335-0984

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M605
SD

Other

Enumeration date
05/31/2007
Last updated
06/11/2019
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