BRANDON KVIDT, DDS

Dentist

Active Individual
NPI: 1750648291

Practice Address

2900 DOOLITTLE DR BLDG 6000
Ellsworth Afb, SD 57706

Phone: (605) 385-3657

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Dentist 122300000X Yes D13083 (MN)

Frequently Asked Questions

NPI 1750648291 is the National Provider Identifier for BRANDON KVIDT, DDS, a Dentist provider located in Ellsworth Afb, SD. This NPI was enumerated on April 23, 2012.
BRANDON KVIDT, DDS practices at 2900 DOOLITTLE DR BLDG 6000, Ellsworth Afb, SD 57706.

Quick Facts

NPI
1750648291
Type
Individual
Enumerated
Apr 23, 2012
Last Updated
Sep 20, 2013

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