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1285709394
DOUGLAS E IDEMA
SIOUX FALLS, SD
NPI
1285709394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: SD M266)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS E IDEMA DDS
2521 S WESTERN AVE
SIOUX FALLS, SD 57105
Phone number: 605-336-1967
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Mailing Address
Dr. DOUGLAS E IDEMA DDS
2521 S WESTERN AVE
SIOUX FALLS, SD 57105
Phone number: 605-336-1967
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