JACKSON BOULEVARD DENTAL ASSOCIATES

RAPID CITY, SD
NPI1629315932
Doing Business AsTAYLOR DENTAL
Entity TypeOrganization
Authorized ContactJARED L TAYLOR
Owner
605-348-1712
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: SD  M636)
Additional Taxonomies122300000X Dentist
(Licence: SD  D1002)
Enumeration Date2013-01-07
Last Update Date2021-10-13
Business Address
JACKSON BOULEVARD DENTAL ASSOCIATES
2620 JACKSON BLVD SUITE B
RAPID CITY, SD 57702-1502
Phone number: 605-348-1712
Mailing Address
JACKSON BOULEVARD DENTAL ASSOCIATES
2620 JACKSON BLVD SUITE B
RAPID CITY, SD 57702-1502
Phone number: 605-348-1712