Organization
BYRNE DENTAL, PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KENNETH BYRNE DDS (MANAGER/OWNER)
(605) 342-1200
Entity
Organization
Contact information
Practice address
3825 CANYON LAKE DR, RAPID CITY, SD 57702
(605) 342-1200
Mailing address
3825 CANYON LAKE DR, RAPID CITY, SD 57702
(605) 342-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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