Organization
BLACK HILLS IMPLANT AND FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LEE HETTINGER DDS (DENIST)
(605) 608-0635
Entity
Organization
Contact information
Practice address
1300 JUNCTION AVE, STURGIS, SD 57785-1938
(605) 608-0635
Mailing address
3917 MINNEKAHTA DR, RAPID CITY, SD 57702-3259
(605) 608-0635
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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