Pediatric Dentistry PC
NPI #1962828285 in Dakota Dunes, South Dakota
Provider Information
- NPI Number
- 1962828285
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry PC
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Mar 11, 2014
- Last Updated
- Nov 18, 2016
Practice Location
- Address
- 711 SIOUX POINT RD. STE. 100
- City
- Dakota Dunes
- State
- South Dakota
- ZIP Code
- 57049-5099
- Phone
- (605) 242-4700
Authorized Official
- Name
- JEANNE S. HANSEN
- Title
- OFFICE MANAGER
- Phone
- (605) 242-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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