James L. Bockwoldt, Dds, PC

NPI #1194859256 in Rapid City, South Dakota

Provider Information

NPI Number: 1194859256
Entity Type: Organization
Organization Name: James L. Bockwoldt, Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 14, 2007
Last Updated: Jan 2, 2013

Practice Location

Address: 2620 JACKSON BLVD
Address 2: SUITE B
City: Rapid City
State: South Dakota
ZIP Code: 57702-1502
Phone: (605) 348-1712

Authorized Official

Name: DR. JAMES L BOCKWOLDT, DDS
Title: OWNER
Phone: (605) 348-1712

Specialties & Taxonomy Codes

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

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