| Family Dentists Prof Llc | |
|
812 Columbus St Rapid City SD 57701 | |
| (605) 341-5437 | |
| Not Available |
| Full Name | Family Dentists Prof Llc |
|---|---|
| Speciality | Dentist |
| Location | 812 Columbus St, Rapid City, South Dakota |
| Authorized Official Name and Position | (jay) John Arthur Benusis (OFFICER) |
| Authorized Official Contact | 6053415437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentists Prof Llc 812 Columbus St. Rapid City SD 57701 Ph: (605) 341-5437 | Family Dentists Prof Llc 812 Columbus St Rapid City SD 57701 Ph: (605) 341-5437 |
| NPI Number | 1851697148 |
|---|---|
| Provider Enumeration Date | 02/03/2011 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851697148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D803 (South Dakota) | Primary |
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