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DAKOTA ENT AND SINUS CLINIC, P.C.

Physicians Otolaryngology Pediatric Otolaryngology

Provider NPI: 1750633004

Organization Information:
Organization Name:  DAKOTA ENT AND SINUS CLINIC, P.C.
Organization is not Subpart
Authorized Official:  MARK GREGORY DESAUTEL  OWNER  605-575-1000

Practice Location:
6709 S MINNESOTA AVE SUITE 206 SIOUX FALLS, SD 57108-2592 US
Tel: 605-575-1000  Fax: 605-575-1004

Business Mailing Address:
6709 S MINNESOTA AVE SUITE 206 SIOUX FALLS, SD 57108-2592 US
Tel: 605-575-1000  Fax: 605-575-1004

NPI Information:
NPI: 1750633004
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207YP0228XPhysicians
Otolaryngology
Pediatric Otolaryngology
N207YS0123XPhysicians
Otolaryngology
N207YX0602XPhysicians
Otolaryngology
N207YX0901XPhysicians
Otolaryngology
N207YX0905XPhysicians
Otolaryngology
Y207Y00000XPhysicians
Otolaryngology

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207Y00000X

Type:

Classification:



Definition:



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