CODY LONNIE HENRIKSEN

SIOUX FALLS, SD
NPI1316232911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SD  Temp 336)
Enumeration Date2011-06-13
Last Update Date2011-06-13
Business Address
-- CODY LONNIE HENRIKSEN DDS
1729 S CLIFF AVE
SIOUX FALLS, SD 57105-2126
Phone number: 605-339-1369
Mailing Address
-- CODY LONNIE HENRIKSEN DDS
1729 S CLIFF AVE
SIOUX FALLS, SD 57105-2126
Phone number: 605-339-1369