Individual
DAVID CLARENCE ISEBRANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 2ND ST, WAGNER, SD 57380-0430
(605) 384-3603
(605) 384-3604
Mailing address
PO BOX 430, 100 2ND ST, WAGNER, SD 57380-0430
(605) 384-3603
(605) 384-3604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M499
SD
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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