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1407836992
SCOTT D VAN DAM
RAPID CITY, SD
NPI
1407836992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: SD 7080)
Enumeration Date
2006-01-19
Last Update Date
2007-11-28
Business Address
-- SCOTT D VAN DAM DDS, MD
3415 5TH ST
RAPID CITY, SD 57701-7365
Phone number: 605-348-6818
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Mailing Address
-- SCOTT D VAN DAM DDS, MD
3415 5TH ST
RAPID CITY, SD 57701-7365
Phone number: 605-348-6818
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