Provider Demographics
NPI:1811095441
Name:KARMAZIN, MOLLY L (DDS)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:L
Last Name:KARMAZIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 W 57TH ST
Mailing Address - Street 2:SUTIE 115
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108
Mailing Address - Country:US
Mailing Address - Phone:605-323-1320
Mailing Address - Fax:605-323-1329
Practice Address - Street 1:3220 W 57TH ST
Practice Address - Street 2:SUTIE 115
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-323-1320
Practice Address - Fax:605-323-1329
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SDM9621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice