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1871681825
DALE JOHNSON
SIOUX FALLS, SD
NPI
1871681825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: SD M822)
Enumeration Date
2006-10-11
Last Update Date
2013-01-11
Business Address
DALE JOHNSON
521 N MAIN AVE STE 100
SIOUX FALLS, SD 57104-5948
Phone number: 605-367-8793
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Mailing Address
DALE JOHNSON
521 N MAIN AVE STE 100
SIOUX FALLS, SD 57104-5948
Phone number: 605-367-8793
Copy
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