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1114796422
ISD NATIONAL CLINIC LLC
SIOUX FALLS, SD
NPI
1114796422
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Entity Type
Organization
Authorized Contact
BRIAN PROUTY
Owner
605-275-2009
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2023-12-28
Last Update Date
2023-12-28
Business Address
ISD NATIONAL CLINIC LLC
4320 S MINNESOTA AVE
SIOUX FALLS, SD 57105-6747
Phone number: 605-275-2009
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Mailing Address
ISD NATIONAL CLINIC LLC
856 POMPESKA DR
WATERTOWN, SD 57201-5463
Phone number: 605-275-2009
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