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1003009903
RYAN K VANLAECKEN
WATERTOWN, SD
NPI
1003009903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: SD M817)
Enumeration Date
2007-08-23
Last Update Date
2020-05-19
Business Address
Dr. RYAN K VANLAECKEN D.D.S. M.S.
600 4TH ST NE STE 103
WATERTOWN, SD 57201-1898
Phone number: 605-882-1500
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Mailing Address
Dr. RYAN K VANLAECKEN D.D.S. M.S.
25 5TH ST NE P O BOX 1450
WATERTOWN, SD 57201-3712
Phone number: 605-882-1500
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