Infinity Implant And Sedation Dentistry Black Hills Llc | |
4215 Berniece St Rapid City SD 57703-6410 | |
(605) 343-6691 | |
Not Available |
Full Name | Infinity Implant And Sedation Dentistry Black Hills Llc |
---|---|
Speciality | Dentist |
Location | 4215 Berniece St, Rapid City, South Dakota |
Authorized Official Name and Position | Brian Kelly Prouty (OWNER) |
Authorized Official Contact | 6058780456 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Infinity Implant And Sedation Dentistry Black Hills Llc 4215 Berniece St Rapid City SD 57703-6410 Ph: (605) 343-6691 | Infinity Implant And Sedation Dentistry Black Hills Llc 4215 Berniece St Rapid City SD 57703-6410 Ph: (605) 343-6691 |
NPI Number | 1578169264 |
---|---|
Provider Enumeration Date | 12/08/2020 |
Last Update Date | 12/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578169264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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