Individual
RICHARD BRADY PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2606 ELDERBERRY BLVD, RAPID CITY, SD 57703
(605) 737-3150
(605) 348-3201
Mailing address
402 MAPLE AVE, RAPID CITY, SD 57701-2931
(605) 737-3150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1247
SD
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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