Organization
MARK E STOTZ DDS A PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E STOTZ DDS (OWNER)
(605) 342-1432
Entity
Organization
Contact information
Practice address
2525 W MAIN ST STE 304, RAPID CITY, SD 57702-2487
(605) 342-1432
(605) 342-8131
Mailing address
2525 W MAIN ST STE 304, RAPID CITY, SD 57702-2487
(605) 342-1432
(605) 342-8131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M672
SD
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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