Organization
KORT HERMAN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORT HERMAN DMD (PRESIDENT)
(605) 584-2482
Entity
Organization
Contact information
Practice address
206 ELLISON CT, LEAD, SD 57754-1758
(605) 584-2482
(605) 584-1790
Mailing address
206 ELLISON CT, LEAD, SD 57754-1758
(605) 584-2482
(605) 584-1790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1105
SD
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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