Individual
DR. KENNETH BENUSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
812 COLUMBUS ST, RAPID CITY, SD 57701-3541
(605) 341-5431
Mailing address
812 COLUMBUS ST, RAPID CITY, SD 57701-3541
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
M520
SD
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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