Organization
RAPID CITY ORTHODONTICS PLLC
Active
Other names
Rapid City Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC JAHN MPA (DIRECTOR OF ADMINISTRATION)
(605) 343-1500
Entity
Organization
Contact information
Practice address
5150 5TH ST, RAPID CITY, SD 57701-6023
(605) 343-4975
Mailing address
2620 JACKSON BLVD STE A, RAPID CITY, SD 57702-3478
(605) 343-1500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
04/16/2021
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