Sara K Reausaw-Wilson, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Rapid City, SD

NPI

1285807214

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D0819 (SD)

Sex

Female

Sole proprietor

No

Enumerated

2008-04-10

Last updated

2016-05-26