Reausaw-Wilson, Dmd, P.c.
NPI #1386092674 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1386092674
- Entity Type
- Organization
- Organization Name
- Reausaw-Wilson, Dmd, P.c.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 27, 2016
- Last Updated
- Jul 1, 2016
Practice Location
- Address
- 4215 BERNIECE ST
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57703-6410
- Phone
- (605) 343-6691
Authorized Official
- Name
- DR. SARA K REAUSAW-WILSON, DMD
- Title
- PRESIDENT
- Phone
- (605) 786-7789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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