NPI | 1205393394 |
---|---|
Doing Business As | RAPID CITY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JESSE MICHAEL DANA Owner 605-717-2722 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-02-25 |
Last Update Date | 2021-03-02 |