BLAKE HULT

CANTON, SD
NPI1912521766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SD  D1263)
Enumeration Date2020-06-07
Last Update Date2020-06-07
Business Address
BLAKE HULT DDS
1110 W 5TH ST
CANTON, SD 57013-1543
Phone number: 605-764-3179
Mailing Address
BLAKE HULT DDS
1110 W 5TH ST
CANTON, SD 57013-1543
Phone number: 605-764-3179