Individual
DELORES E STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
EAST HIGHWAY 18, IHS PINE RIDGE HOSPITAL, PINE RIDGE, SD 57770
(605) 867-5131
Mailing address
PO BOX 297, MANDERSON, SD 57756
(605) 867-5131
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
570
SD
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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