| Houska Dental Clinic | |
|
1302 E Main St Vermillion SD 57069-2813 | |
| (605) 624-3031 | |
| (605) 624-8084 |
| Full Name | Houska Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1302 E Main St, Vermillion, South Dakota |
| Authorized Official Name and Position | Randy Houska (OWNER/DENTIST) |
| Authorized Official Contact | 6056243031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Houska Dental Clinic 1302 E Main St Vermillion SD 57069-2813 Ph: (605) 624-3031 | Houska Dental Clinic 1302 E Main St Vermillion SD 57069-2813 Ph: (605) 624-3031 |
| NPI Number | 1053606053 |
|---|---|
| Provider Enumeration Date | 06/17/2011 |
| Last Update Date | 06/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053606053 | NPI | - | NPPES |
| 7805970 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | M724 (South Dakota) | Primary |
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