LEEANN DIERCKS

WATERTOWN, SD
NPI1174934574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: SD  D1113)
Additional Taxonomies122300000X Dentist
(Licence: MN  D13356)
Enumeration Date2014-05-19
Last Update Date2016-06-22
Business Address
-- LEEANN DIERCKS D.D.S.
20 19TH ST SE
WATERTOWN, SD 57201-3938
Phone number: 605-886-2805
Mailing Address
-- LEEANN DIERCKS D.D.S.
20 19TH ST SE PO BOX 330
WATERTOWN, SD 57201-3938
Phone number: 605-886-2805
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