Individual
LANDON KOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 S SANTA ROSA CT, SIOUX FALLS, SD 57108-8539
(605) 335-8640
Mailing address
2600 E TRANQUILITY ST, SIOUX FALLS, SD 57108-4912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PENDING
SD
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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