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1700974953
RICHARD JOSEPH ELLENBECKER
SIOUX FALLS, SD
NPI
1700974953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SD M313)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Dr. RICHARD JOSEPH ELLENBECKER DDS
5201 S WESTERN AVE
SIOUX FALLS, SD 57108-5004
Phone number: 605-339-2200
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Mailing Address
Dr. RICHARD JOSEPH ELLENBECKER DDS
5201 S WESTERN AVE
SIOUX FALLS, SD 57108-5004
Phone number: 605-339-2200
Copy
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