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1588025514
IMPLANT & SEDATION DENTISTRY LLC
SIOUX FALLS, SD
NPI
1588025514
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Entity Type
Organization
Authorized Contact
BRIAN KELLY PROUTY
Owner
605-275-2009
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2016-03-18
Last Update Date
2016-03-18
Business Address
IMPLANT & SEDATION DENTISTRY LLC
3409 W 47TH ST STE 103
SIOUX FALLS, SD 57106-6339
Phone number: 605-275-2009
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Mailing Address
IMPLANT & SEDATION DENTISTRY LLC
2300 9TH AVE SE
WATERTOWN, SD 57201-7112
Phone number: 605-275-2009
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