DAVID CLARENCE ISEBRANDS

WAGNER, SD
NPI1902818016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: SD  M499)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
-- DAVID CLARENCE ISEBRANDS DDS
100 2ND ST
WAGNER, SD 57380-0430
Phone number: 605-384-3603
Mailing Address
-- DAVID CLARENCE ISEBRANDS DDS
PO BOX 430 100 2ND ST
WAGNER, SD 57380-0430
Phone number: 605-384-3603
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