FAMILY DENTISTS PROF LLC

RAPID CITY, SD
NPI1851697148
Entity TypeOrganization
Authorized Contact(JAY) JOHN ARTHUR BENUSIS
Officer
605-341-5437
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: SD  D803)
Enumeration Date2011-02-03
Last Update Date2011-02-03
Business Address
FAMILY DENTISTS PROF LLC
812 COLUMBUS ST
RAPID CITY, SD 57701
Phone number: 605-341-5437
Mailing Address
FAMILY DENTISTS PROF LLC
812 COLUMBUS ST.
RAPID CITY, SD 57701
Phone number: 605-341-5437