James L Bockwoldt, DDS, PC Valid NPI
Individual provider · General Practice Dentistry · Rapid City, SD
- NPI
- 1437245586
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- M636 (SD)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-05
- Last updated
- 2007-07-08
Practice location
2620 Jackson Blvd, Suite B
Rapid City, SD 57702-1502
(605) 348-1712