Organization
BENJAMIN T. KNUTZEN DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN THOMAS KNUTZEN DDS (PRESIDENT)
(605) 692-9463
Entity
Organization
Contact information
Practice address
2311 YORKSHIRE DR, SUITE A, BROOKINGS, SD 57006-2446
(605) 692-9463
(605) 692-3951
Mailing address
2311 YORKSHIRE DR, SUITE A, BROOKINGS, SD 57006-2446
(605) 692-9463
(605) 692-3951
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D0402
SD
Other
Enumeration date
05/30/2007
Last updated
08/21/2007
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