Organization
CHRIS DIAZ-FREED DENTAL PROF LLC
Active
Other names
Canton Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS J DIAZ-FREED DDS (DENTIST)
(605) 987-2721
Entity
Organization
Contact information
Practice address
1110 W 5TH ST, CANTON, SD 57013-1543
(605) 987-2721
Mailing address
1110 W 5TH ST, CANTON, SD 57013-1543
(605) 987-2721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1004
SD
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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