RUSSELL LANE HOLDERNESS

SISSETON, SD
NPI1679808166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NC  8865)
Enumeration Date2009-10-16
Last Update Date2021-05-05
Business Address
Dr. RUSSELL LANE HOLDERNESS DDS
100 LAKE TRAVERSE DR
SISSETON, SD 57262-7046
Phone number: 605-698-7606
Mailing Address
Dr. RUSSELL LANE HOLDERNESS DDS
100 LAKE TRAVERSE DR
SISSETON, SD 57262-7046
Phone number: 605-698-7606