Individual
BRIAN K PROUTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
600 4TH ST NE, STE102, WATERTOWN, SD 57201-1898
(605) 886-8394
(605) 886-5209
Mailing address
1304 6TH ST NW, WATERTOWN, SD 57201-1344
(605) 886-8394
(605) 886-5209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M983
SD
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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