Organization
KAPPENMAN DENTAL CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY KAPPENMAN (DENTIST)
(605) 361-9288
Entity
Organization
Contact information
Practice address
5704 W 41ST ST, SIOUX FALLS, SD 57106-1011
(605) 361-9288
(605) 361-1909
Mailing address
5704 W 41ST ST, SIOUX FALLS, SD 57106-1011
(605) 361-9288
(605) 361-1909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M693
SD
1223G0001X
General Practice Dentistry
M791
SD
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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