ISD NATIONAL CLINIC LLC

SIOUX FALLS, SD
NPI1114796422
Entity TypeOrganization
Authorized ContactBRIAN PROUTY
Owner
605-275-2009
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2023-12-28
Last Update Date2023-12-28
Business Address
ISD NATIONAL CLINIC LLC
4320 S MINNESOTA AVE
SIOUX FALLS, SD 57105-6747
Phone number: 605-275-2009
Mailing Address
ISD NATIONAL CLINIC LLC
856 POMPESKA DR
WATERTOWN, SD 57201-5463
Phone number: 605-275-2009
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