Organization
.INDIAN HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA VON HENDRICKS DDS (DENTAL CHIEF)
(605) 355-2260
Entity
Organization
Contact information
Practice address
241 EAST MEADE ST, RAPID CITY, SD 57701
(605) 341-6325
Mailing address
241 E MEADE ST, RAPID CITY, SD 57701-5657
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
580
SD
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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