NPI 1003423104

Candid South Dakota, LLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Sioux Falls, SD

Practice location

Address: 519 W 22nd St STE 100, Sioux Falls, SD 57105-1745
Phone: (860) 481-7631

Authorised official

Name: Richard D'Avanzo
Title: DDS
Phone: (860) 481-7631

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X

Other Dentist providers in South Dakota →

Registry record

NPI: 1003423104
Entity type: Organization
NPI issued: 23 Sep 2020
Record last updated: 23 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.