Individual
DR. KENNETH VANASMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15308 GRAND VIEW DR, PIEDMONT, SD 57769-7326
(605) 787-6218
Mailing address
15308 GRAND VIEW DR, PIEDMONT, SD 57769-7326
(605) 787-6218
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
M718
SD
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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