Organization
ERICK RATH DDS PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK RATH DDS PHD (OWNER)
(605) 224-5966
Entity
Organization
Contact information
Practice address
433 S CENTRAL AVE, PIERRE, SD 57501-4508
(605) 224-5966
Mailing address
433 S CENTRAL AVE, PIERRE, SD 57501-4508
(605) 224-5966
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
M929
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760576896
NPI I
SD
Enumeration date
08/21/2008
Last updated
08/21/2008
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