MRS. Joan Fillaus, RDH

NPI #1568778959 in Wagner, South Dakota

Provider Information

NPI Number: 1568778959
Entity Type: Individual
Name: MRS. Joan Fillaus, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Aug 24, 2010
Last Updated: Aug 24, 2010

Practice Location

Address: 111 WASHINGTON AVE NW
City: Wagner
State: South Dakota
ZIP Code: 57380-4300
Phone: (605) 384-3621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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