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MARY ANN DICK DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1659584035
Individual Registrant: MARY ANN DICK DDS
Gender: F
Sole Proprietor
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
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
Tel: 605-425-2725 Fax: 605-425-9725
Registration Information:
NPI: 1659584035
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | SD | M675 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
