Organization
DAKOTA REGIONAL PERIODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN TERRY DDS (PARTNER/OWNER)
(605) 348-2556
Entity
Organization
Contact information
Practice address
2800 JACKSON BLVD STE 6, RAPID CITY, SD 57702-3477
(605) 348-2556
(605) 348-1526
Mailing address
2800 JACKSON BLVD STE 6, RAPID CITY, SD 57702-3477
(605) 348-2556
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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