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Individual

DR. ROSS KENNETH SCHULTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
21 1ST AVE SE, WATERTOWN, SD 57201-3679
(605) 886-2805
(605) 886-8357
Mailing address
21 1ST AVE SE, WATERTOWN, SD 57201-3679
(605) 886-2805
(605) 886-8357

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M 875
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7800820
SD
Enumeration date
01/10/2007
Last updated
07/08/2007
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