Black Hills Orthodontics, Prof. L.l.c.
NPI #1205393394 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1205393394
- Entity Type
- Organization
- Organization Name
- Black Hills Orthodontics, Prof. L.l.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BLACK HILLS ORTHODONTICS, PROF. L.L.C.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 25, 2019
- Last Updated
- Mar 2, 2021
Practice Location
- Address
- 5150 5TH ST
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57701-6023
- Phone
- (605) 343-4975
Authorized Official
- Name
- DR. JESSE MICHAEL DANA
- Title
- OWNER
- Phone
- (605) 717-2722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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