Organization · Type 2 NPI

Ponderosa Smiles

General Practice Dentistry · Rapid City, SD

NPI number 1053919506 Active

About NPI 1053919506

Ponderosa Smiles's National Provider Identifier is 1053919506, issued on Oct 15, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rapid City, SD. The record was last updated on Oct 15, 2020.