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MARY ANN DICK DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1659584035

Individual Registrant:
 MARY ANN DICK DDS
Gender: F
Sole Proprietor

Location and contact information for practice:
440 EAST RUTAN AVENUE  SALEM, SD 57058-0549 US
Tel: 605-425-2725  Fax: 605-425-9725

Contact information for business:
PO BOX 549  SALEM, SD 57058-0549 US
Tel: 605-425-2725  Fax: 605-425-9725

Registration Information:
NPI: 1659584035
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
SDM675

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS SD - Page 1



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