Organization
KATE HAAVE, DDS, PC
Active
Other names
dba Wilson Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS M MALTAVERNE (OFFICE MANAGER)
(605) 343-9352
Entity
Organization
Contact information
Practice address
807 SAINT ANDREW ST, RAPID CITY, SD 57701-4526
(605) 343-9352
Mailing address
807 SAINT ANDREW ST, RAPID CITY, SD 57701-4526
(605) 343-9352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0812
SD
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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