Organization
REARDON DENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM J REARDON (CFO)
(605) 335-5369
Entity
Organization
Contact information
Practice address
3305 S LINCOLN AVE, SIOUX FALLS, SD 57105-5224
(605) 336-8144
Mailing address
3305 S LINCOLN AVE, SIOUX FALLS, SD 57105-5224
(605) 336-8144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M518
SD
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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