Winner Dental Clinic, Prof. LLC
NPI #1609483015 in Winner, South Dakota
Provider Information
- NPI Number
- 1609483015
- Entity Type
- Organization
- Organization Name
- Winner Dental Clinic, Prof. LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 29, 2020
- Last Updated
- Sep 29, 2020
Practice Location
- Address
- 911 GOLDEN PRAIRIE DR
- City
- Winner
- State
- South Dakota
- ZIP Code
- 57580-2176
- Phone
- (605) 842-1793
Authorized Official
- Name
- DR. BRADLEY FARLEY, DDS
- Title
- OWNER DENTIST
- Phone
- (605) 842-1793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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