Embrace Clear Lake LLC

NPI #1639948482 in Clear Lake, South Dakota

Provider Information

NPI Number: 1639948482
Entity Type: Organization
Organization Name: Embrace Clear Lake LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 21, 2023
Last Updated: Dec 21, 2023

Practice Location

Address: 210 3RD AVE SOUTH
City: Clear Lake
State: South Dakota
ZIP Code: 57226
Phone: (605) 874-2230

Authorized Official

Name: BRIAN PROUTY, DDS
Title: OWNER
Phone: (605) 874-2230

Specialties & Taxonomy Codes

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

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