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Organization

COMMUNITY DENTISTRY & DENTURES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN PROUTY DDS (OWNER)
(605) 886-8394
Entity
Organization

Contact information

Practice address
324 4TH ST NE, WATERTOWN, SD 57201-2620
(605) 886-8394
(605) 886-5209
Mailing address
2300 9TH AVE SE, WATERTOWN, SD 57201-7112
(605) 886-8694
(605) 886-5209

Taxonomy

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

Other

Enumeration date
09/29/2017
Last updated
09/29/2017
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