| NPI | 1710433123 |
|---|---|
| Doing Business As | RUSHMORE DENTAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LYNN KELLY Owner 605-593-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SD D0505) |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2016-08-27 |