Individual
GARY PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11 COURT ST, VERMILLION, SD 57069-3056
(605) 624-8695
Mailing address
11 COURT ST, VERMILLION, SD 57069-3056
(605) 624-8695
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M608
SD
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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