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Organization

HERMANSON ENDODONTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN PATRICK HERMANSON DDS (ENDODONTIST)
(605) 280-5966
Entity
Organization

Contact information

Practice address
1709 N LINCOLN AVE STE 103, PIERRE, SD 57501-7809
(605) 280-5966
Mailing address
1709 N LINCOLN AVE STE 103, PIERRE, SD 57501-7809

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D1057
SD

Other

Enumeration date
07/21/2017
Last updated
07/21/2017
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