Organization · Type 2 NPI
Clear Lake Dental LLC
Dental Clinic/Center · Clear Lake, SD
NPI number
1629436381
Active
Practice location
210 3rd Ave South
Clear Lake, SD 57226
Fax (605) 874-2675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1629436381
Clear Lake Dental LLC's National Provider Identifier is 1629436381, issued on Feb 9, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Clear Lake, SD. The record was last updated on Feb 9, 2016.