PONDEROSA SMILES

RAPID CITY, SD
NPI1053919506
Entity TypeOrganization
Authorized ContactROB LYONS
Dentist
605-791-5005
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2020-10-15
Last Update Date2020-10-15
Business Address
PONDEROSA SMILES
5955 MOUNT RUSHMORE RD STE A
RAPID CITY, SD 57701-8960
Phone number: 605-791-5005
Mailing Address
PONDEROSA SMILES
5955 MOUNT RUSHMORE RD STE A
RAPID CITY, SD 57701-8960
Phone number: 605-791-5005
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