Organization
SHAWD DOWNTOWN DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN LANE BAKKE III D.D.S. (EMPLOYEE DENTIST)
(605) 665-7476
Entity
Organization
Contact information
Practice address
232 CAPITOL ST, YANKTON, SD 57078-4427
(605) 665-7476
Mailing address
232 CAPITOL ST, YANKTON, SD 57078-4427
(605) 665-7476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M996
SD
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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