Individual
DR. ALLIE JEAN KOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6908 S LYNCREST PL, SIOUX FALLS, SD 57108-2565
(605) 275-5771
Mailing address
4809 E 42ND ST, SIOUX FALLS, SD 57110-4407
(605) 595-8880
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
7718
NE
1223P0221X
Pediatric Dentistry
Primary
D1401
SD
Other
Enumeration date
06/16/2021
Last updated
07/12/2023
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