Soderstrom Implant Dentistry, PC
NPI #1083837199 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1083837199
- Entity Type
- Organization
- Organization Name
- Soderstrom Implant Dentistry, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 907 JACKSON BLVD
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57702-2541
- Phone
- (605) 388-0930
Authorized Official
- Name
- DR. JERRY L. SODERSTROM, DDS
- Title
- PRESIDENT
- Phone
- (605) 388-0930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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