Organization · Type 2 NPI
Slack Dental, PC
Dental Clinic/Center · Sioux Falls, SD
NPI number
1720159510
Active
Practice location
2425 W 57th St
Sioux Falls, SD 57108-5026
Fax (605) 339-4441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | M408 (SD) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1720159510
Slack Dental, PC's National Provider Identifier is 1720159510, issued on Nov 13, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Sioux Falls, SD. The record was last updated on Aug 22, 2020.