Kevin B Hericks, DDS PC

NPI #1184762338 in Watertown, South Dakota

Provider Information

NPI Number: 1184762338
Entity Type: Individual
Name: Kevin B Hericks, DDS PC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS PC
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 415 16TH AVE CIR NE
City: Watertown
State: South Dakota
ZIP Code: 57201
Phone: (605) 886-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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