Organization
KNUTSON FAMILTY DENTISTRY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEONARD KNUTSON (PARTNER IN LLP)
(605) 624-6291
Entity
Organization
Contact information
Practice address
1714 E CHERRY ST, VERMILLION, SD 57069-5394
(605) 624-6291
(605) 624-9488
Mailing address
1714 E CHERRY ST, VERMILLION, SD 57069-5394
(605) 624-6291
(605) 624-9488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M457
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7809990
—
SD
Enumeration date
09/04/2007
Last updated
07/10/2008
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