Organization
DAKOTA ENT AND SINUS CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GREGORY DESAUTEL MD (OWNER)
(605) 575-1000
Entity
Organization
Contact information
Practice address
6709 S MINNESOTA AVE, SUITE 206, SIOUX FALLS, SD 57108-2592
(605) 575-1000
(605) 575-1004
Mailing address
6709 S MINNESOTA AVE, SUITE 206, SIOUX FALLS, SD 57108-2592
(605) 575-1000
(605) 575-1004
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
207YX0901X
Otology & Neurotology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
Other
Enumeration date
10/11/2012
Last updated
12/10/2012
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