Blake Kopf, DDS

NPI #1144711896 in Vermillion, South Dakota

Provider Information

NPI Number: 1144711896
Entity Type: Individual
Name: Blake Kopf, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 29, 2018
Last Updated: Jun 13, 2018

Practice Location

Address: 11 COURT ST
City: Vermillion
State: South Dakota
ZIP Code: 57069
Phone: (605) 624-8695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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