Organization
KHAROUF ORTHODONTICS GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GEORGE KHAROUF (OWNER)
(605) 343-4975
Entity
Organization
Contact information
Practice address
5150 5TH ST, RAPID CITY, SD 57701-6023
(605) 343-4975
Mailing address
5150 5TH ST, RAPID CITY, SD 57701-6023
(605) 343-4975
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
M839
SD
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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