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Organization
BENJAMIN T. KNUTZEN DDS, PC
Active
Organization
BENJAMIN T. KNUTZEN DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN THOMAS KNUTZEN DDS (PRESIDENT)
(605) 692-9463
Entity
Organization
Contact information
Practice address
2311 YORKSHIRE DR, SUITE A, BROOKINGS, SD 57006-2446
(605) 692-9463
(605) 692-3951
Mailing address
2311 YORKSHIRE DR, SUITE A, BROOKINGS, SD 57006-2446
(605) 692-9463
(605) 692-3951
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D0402
SD
Other
Enumeration date
05/30/2007
Last updated
08/21/2007
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