Organization
SLACK DENTAL, PC
Active
Other names
Riverview Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CALE SLACK DDS (PRESIDENT)
(605) 339-2040
Entity
Organization
Contact information
Practice address
2425 W 57TH ST, SIOUX FALLS, SD 57108-5026
(605) 339-2040
(605) 339-4441
Mailing address
2425 W 57TH ST, SIOUX FALLS, SD 57108-5026
(605) 339-2040
(605) 339-4441
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
M408
SD
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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