Organization
BLACK HILLS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMM TOROK-HOBEN (CEO)
(605) 341-3068
Entity
Organization
Contact information
Practice address
700 SHERIDAN LAKE RD, RAPID CITY, SD 57702-2407
(605) 341-3068
(605) 341-5757
Mailing address
700 SHERIDAN LAKE RD, RAPID CITY, SD 57702-2407
(605) 341-3068
(605) 341-5757
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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