BLACK HILLS EMBRACE LLC

RAPID CITY, SD
NPI1134725922
Entity TypeOrganization
Authorized ContactBRIAN KELLY PROUTY
Owner
056-878-0456
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2020-12-08
Last Update Date2020-12-08
Business Address
BLACK HILLS EMBRACE LLC
4215 BERNIECE ST
RAPID CITY, SD 57703-6410
Phone number: 605-343-6691
Mailing Address
BLACK HILLS EMBRACE LLC
4215 BERNIECE ST
RAPID CITY, SD 57703-6410
Phone number: 605-343-6691
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