Dakota Family Dentistry, Prof. LLC
NPI #1962967455 in Huron, South Dakota
Provider Information
- NPI Number
- 1962967455
- Entity Type
- Organization
- Organization Name
- Dakota Family Dentistry, Prof. LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 8, 2019
- Last Updated
- Feb 8, 2019
Practice Location
- Address
- 1010 DAKOTA AVE S
- City
- Huron
- State
- South Dakota
- ZIP Code
- 57350-3318
- Phone
- (605) 352-6999
Authorized Official
- Name
- DR. JESSE DAVID FAST, DDS
- Title
- OWNER DENTIST
- Phone
- (605) 352-6999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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