Individual
KEVIN B HERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
415 16TH AVE CIR NE, WATERTOWN, SD 57201
(605) 886-2222
(605) 884-0074
Mailing address
PO BOX 427, 415 16TH AVE CIR NE, WATERTOWN, SD 57201
(605) 886-2222
(605) 884-0674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M880
SD
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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