Organization
HRUBY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY LYNN HRUBY (DENTIST)
(605) 345-3000
Entity
Organization
Contact information
Practice address
101 PEABODY DR, SUITE #3, WEBSTER, SD 57274-1061
(605) 345-3000
(605) 345-3001
Mailing address
101 PEABODY DR, SUITE #3, WEBSTER, SD 57274-1061
(605) 345-3000
(605) 345-3001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M916
SD
Other
Enumeration date
05/31/2007
Last updated
11/07/2012
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