Shawd Nbd 26th P.c.
NPI #1235440769 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1235440769
- Entity Type
- Organization
- Organization Name
- Shawd Nbd 26th P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 30, 2010
- Last Updated
- Jun 30, 2010
Practice Location
- Address
- 5110 W 26TH ST
- Address 2
- UNIT 5
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57106-3520
- Phone
- (605) 759-5583
Authorized Official
- Name
- LYNN D OLSON
- Title
- HR MANAGER
- Phone
- (605) 731-9599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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