Organization
BART A. SAMUELSON DDS, PC
Active
Other names
Black Hills Area Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BART A SAMUELSON D.D.S. (OWNER DENTIST PRESIDENT)
(605) 348-4657
Entity
Organization
Contact information
Practice address
200 FEDERAL AVE, RAPID CITY, SD 57702-2326
(605) 348-4657
Mailing address
200 FEDERAL AVE, RAPID CITY, SD 57702-2326
(605) 348-4657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D0607
SD
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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