Organization
UNKENHOLZ FAMILY DENTAL, PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC GRANT UNKENHOLZ DDS (PRESIDENT)
(605) 399-9000
Entity
Organization
Contact information
Practice address
710 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-3609
(605) 399-9000
(605) 399-9008
Mailing address
710 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-3609
(605) 399-9000
(605) 399-9008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
SD
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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