University of South Dakota Dental Hygiene

NPI #1508114695 in Vermillion, South Dakota

Provider Information

NPI Number
1508114695
Entity Type
Organization
Organization Name
University of South Dakota Dental Hygiene
Subpart
Yes (part of a larger organization)
Parent Organization
UNIVERSITY OF SOUTH DAKOTA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 21, 2012
Last Updated
Aug 21, 2012

Practice Location

Address
414 E CLARK ST
Address 2
120 EAST HALL
ZIP Code
57069-2307
Phone
(605) 677-5582

Authorized Official

Name
ANN BRUNICK
Title
CHAIRPERSON
Phone
(605) 677-5379

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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