Individual
CORNELIA ALICE SALLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W 41ST ST, SIOUX FALLS, SD 57105-6119
(605) 679-7227
Mailing address
2116 E ELIZABETH DR, SIOUX FALLS, SD 57103-4623
(615) 738-7631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1450
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2023
Last updated
06/20/2024
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