Lamar Wilbur Koistinen, DDS

NPI #1134567746 in Desmet, South Dakota

Provider Information

NPI Number: 1134567746
Entity Type: Individual
Name: Lamar Wilbur Koistinen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 6, 2013
Last Updated: Jun 30, 2014

Practice Location

Address: 401 PRAIRIE AVE SW
City: Desmet
State: South Dakota
ZIP Code: 57231
Phone: (605) 854-3455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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