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Organization

HILLSVIEW DENTAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA PETERSEN DDS (OWNER)
(605) 342-6652
Entity
Organization

Contact information

Practice address
1687 TABLEROCK RD, RAPID CITY, SD 57701-5495
(605) 342-6652
Mailing address
1687 TABLEROCK RD, RAPID CITY, SD 57701-5495
(605) 342-6652

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/03/2022
Last updated
10/03/2022
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