Mason Alexander Hericks

NPI #1023852175 in Rapid City, South Dakota

Provider Information

NPI Number: 1023852175
Entity Type: Individual
Name: Mason Alexander Hericks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 24, 2024
Last Updated: Jun 25, 2024

Practice Location

Address: 2606 ELDERBERRY BLVD STE 1
City: Rapid City
State: South Dakota
ZIP Code: 57703-5981
Phone: (605) 737-3150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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