DR. Jace Andrew Hanisch, DDS
NPI #1083454243 in Watertown, South Dakota
Provider Information
- NPI Number
- 1083454243
- Entity Type
- Individual
- Name
- DR. Jace Andrew Hanisch, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 27, 2024
- Last Updated
- May 27, 2024
Practice Location
- Address
- 20 19TH ST SE # 3938
- City
- Watertown
- State
- South Dakota
- ZIP Code
- 57201-3938
- Phone
- (605) 886-2805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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