JACKSON BOULEVARD DENTAL ASSOCIATES

Dentist

Active Organization
NPI: 1629315932

Practice Address

2620 JACKSON BLVD
SUITE B
Rapid City, SD 57702

Phone: (605) 348-1712

Specialties

Specialty Code Primary License
Dentist 122300000X Yes M636 (SD)

Frequently Asked Questions

NPI 1629315932 is the National Provider Identifier for JACKSON BOULEVARD DENTAL ASSOCIATES, a Dentist provider located in Rapid City, SD. This NPI was enumerated on January 7, 2013.

Quick Facts

NPI
1629315932
Type
Organization
Enumerated
Jan 7, 2013
Last Updated
Oct 13, 2021

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