Individual
JESSE DAVID FAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1010 DAKOTA AVE S, HURON, SD 57350-3318
(605) 352-6999
Mailing address
1010 DAKOTA AVE S, HURON, SD 57350-3318
(605) 352-6999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
135
SD
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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