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1467514984
BRIAN K PROUTY
WATERTOWN, SD
NPI
1467514984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: SD M983)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
-- BRIAN K PROUTY D.D.S.
600 4TH ST NE STE102
WATERTOWN, SD 57201-1898
Phone number: 605-886-8394
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Mailing Address
-- BRIAN K PROUTY D.D.S.
1304 6TH ST NW
WATERTOWN, SD 57201-1344
Phone number: 605-886-8394
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