Individual
DR. GARY C. STORMO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-3078
(605) 867-3229
Mailing address
6080 ALPINE CT, RAPID CITY, SD 57702-8837
(605) 348-4907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M 333
SD
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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