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Organization
BART A. SAMUELSON DDS, PC
Active
Organization
BART A. SAMUELSON DDS, PC
Active
Other names
Black Hills Area Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BART A SAMUELSON D.D.S. (OWNER DENTIST PRESIDENT)
(605) 348-4657
Entity
Organization
Contact information
Practice address
200 FEDERAL AVE, RAPID CITY, SD 57702-2326
(605) 348-4657
Mailing address
200 FEDERAL AVE, RAPID CITY, SD 57702-2326
(605) 348-4657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D0607
SD
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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