Candid South Dakota, LLC
NPI #1003423104 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1003423104
- Entity Type
- Organization
- Organization Name
- Candid South Dakota, LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Sep 23, 2020
- Last Updated
- Sep 23, 2020
Practice Location
- Address
- 519 W 22ND ST STE 100
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57105-1745
- Phone
- (860) 481-7631
Authorized Official
- Name
- RICHARD D'AVANZO
- Title
- DDS
- Phone
- (860) 481-7631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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