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Organization
INFINITY IMPLANT AND SEDATION DENTISTRY BLACK HILLS LLC
Active
Organization
INFINITY IMPLANT AND SEDATION DENTISTRY BLACK HILLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KELLY PROUTY DDS (OWNER)
(605) 878-0456
Entity
Organization
Contact information
Practice address
4215 BERNIECE ST, RAPID CITY, SD 57703-6410
(605) 343-6691
Mailing address
4215 BERNIECE ST, RAPID CITY, SD 57703-6410
(605) 343-6691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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