Organization
KOPF DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY KOPF DDS (OWNER-DOCTOR)
(402) 371-0886
Entity
Organization
Contact information
Practice address
11 COURT ST, VERMILLION, SD 57069-3056
(605) 624-8695
Mailing address
11 COURT ST, PO BOX 356, VERMILLION, SD 57069-3056
(605) 624-8695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
597
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100260168-00
—
NE
Enumeration date
03/22/2016
Last updated
03/22/2016
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