Organization
EMBRACE CLEAR LAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PROUTY DDS (OWNER)
(605) 874-2230
Entity
Organization
Contact information
Practice address
210 3RD AVE SOUTH, CLEAR LAKE, SD 57226
(605) 874-2230
(605) 657-0054
Mailing address
210 3RD AVE SOUTH, CLEAR LAKE, SD 57226
(605) 874-2230
(605) 657-0054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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