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1538207519
KENNETH BENUSIS
RAPID CITY, SD
NPI
1538207519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: SD M520)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Dr. KENNETH BENUSIS DMD
812 COLUMBUS ST
RAPID CITY, SD 57701-3541
Phone number: 605-341-5431
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Mailing Address
Dr. KENNETH BENUSIS DMD
812 COLUMBUS ST
RAPID CITY, SD 57701-3541
Phone number:
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