Organization
WINNER DENTAL CLINIC, PROF. LLC
Active
Other names
Winner Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY FARLEY DDS (OWNER DENTIST)
(605) 842-1793
Entity
Organization
Contact information
Practice address
911 GOLDEN PRAIRIE DR, WINNER, SD 57580-2176
(605) 842-1793
Mailing address
911 GOLDEN PRAIRIE DR, WINNER, SD 57580-2176
(605) 842-1793
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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