Chanku Waste Dental LLC
NPI #1124776398 in Porcupine, South Dakota
Provider Information
- NPI Number
- 1124776398
- Entity Type
- Organization
- Organization Name
- Chanku Waste Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 16, 2022
- Last Updated
- Mar 16, 2022
Practice Location
- Address
- 118 CHANKU WASTE RD
- City
- Porcupine
- State
- South Dakota
- ZIP Code
- 57772-3099
- Phone
- (605) 455-2052
Authorized Official
- Name
- DAVID A REMPEL, DDS
- Title
- OWNER
- Phone
- (605) 455-2052
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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