John L Bridges, DDS Valid NPI

Individual provider · General Practice Dentistry · Rapid City, SD

NPI

1568581270

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

M948 (SD)

Sex

Male

Sole proprietor

No

Enumerated

2007-03-28

Last updated

2007-07-08