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Individual

ROBERT L SWENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
107 W 3RD ST, MILLER, SD 57362-1324
(605) 853-3264
(605) 853-2330
Mailing address
PO BOX 53, MILLER, SD 57362-0053
(605) 853-3264
(605) 853-2330

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M657
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804590
SD
Enumeration date
11/21/2006
Last updated
07/09/2007
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