Isd National Clinic LLC
NPI #1114796422 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1114796422
- Entity Type
- Organization
- Organization Name
- Isd National Clinic LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 28, 2023
- Last Updated
- Dec 28, 2023
Practice Location
- Address
- 4320 S MINNESOTA AVE
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57105-6747
- Phone
- (605) 275-2009
Authorized Official
- Name
- BRIAN PROUTY, DDS
- Title
- OWNER
- Phone
- (605) 275-2009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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