Kimberly A. Trask, D.d.s., Prof. L.l.c.

NPI #1518542927 in Philip, South Dakota

Provider Information

NPI Number: 1518542927
Entity Type: Organization
Organization Name: Kimberly A. Trask, D.d.s., Prof. L.l.c.
Primary Specialty: Dentist
Enumeration Date: Mar 17, 2021
Last Updated: Mar 17, 2021

Practice Location

Address: 104 PHILIP AVE
City: Philip
State: South Dakota
ZIP Code: 57567
Phone: (605) 859-2491

Authorized Official

Name: KIMBERLY TRASK
Title: MEMBER
Phone: (605) 864-0149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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