Individual
LARRY FROISTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3712 CANYON LAKE DR, RAPID CITY, SD 57702-3198
(605) 342-3939
Mailing address
3712 CANYON LAKE DR, RAPID CITY, SD 57702-3198
(605) 342-3939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M493
SD
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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