Organization
BROOKINGS DENTAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY B JOHNSON DDS (OFFICER)
(605) 692-1222
Entity
Organization
Contact information
Practice address
2215 DERDALL DR, BROOKINGS, SD 57006-2851
(605) 692-1222
Mailing address
2215 DERDALL DR, BROOKINGS, SD 57006-2851
(605) 692-1222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
SD
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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