Organization
UNIVERSITY OF SOUTH DAKOTA DENTAL HYGIENE
Active
Parent organization
UNIVERSITY OF SOUTH DAKOTA
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF SOUTH DAKOTA
Authorized official
MRS. ANN BRUNICK RDH, MS (CHAIRPERSON)
(650) 677-5379
Entity
Organization
Contact information
Practice address
521 N MAIN AVE, SUITE 202, SIOUX FALLS, SD 57104-5948
(605) 367-8046
Mailing address
414 E CLARK ST, 120 EAST HALL, VERMILLION, SD 57069-2307
(605) 677-5379
(650) 677-5638
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D0802
SD
Other
Enumeration date
01/07/2008
Last updated
08/12/2010
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