Organization
MICHAEL H DOERR, D.M.D., P.C.
Active
Other names
Boulevard Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H DOERR D.M.D. (PRESIDENT)
(605) 341-1895
Entity
Organization
Contact information
Practice address
801 MOUNT RUSHMORE RD, SUITE 201, RAPID CITY, SD 57701-3614
(605) 341-1895
Mailing address
801 MOUNT RUSHMORE RD, SUITE 201, RAPID CITY, SD 57701-3614
(605) 341-1895
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D1092
SD
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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