NPI 1568778959

Joan Fillaus, RDH

Practitioner Dental Hygienist Wagner, SD

Practice location

Address: 111 Washington Ave NW, Wagner, SD 57380-4300
Phone: (605) 384-3621

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 707 (SD)

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Registry record

NPI: 1568778959
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2010
Record last updated: 24 Aug 2010

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.