Organization
DAKOTA FAMILY DENTISTRY, PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE DAVID FAST DDS (OWNER DENTIST)
(605) 352-6999
Entity
Organization
Contact information
Practice address
1010 DAKOTA AVE S, HURON, SD 57350-3318
(605) 352-6999
(605) 352-0472
Mailing address
1010 DAKOTA AVE S, HURON, SD 57350-3318
(605) 352-6999
(605) 352-0472
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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