Bart Aaron Samuelson, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Rapid City, SD

NPI

1063520542

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D0607 (SD)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-26

Last updated

2007-07-08