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Keith D Moler, DDS

Dentist, General Practice in Rapid City, SD. Individual provider (NPI-1).

NPI number1629131982
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1629131982
Entity type
Individual (NPI-1)
Name
Mr. Keith D Moler
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Dec 18, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeM374SDYes

Practice location

506 West Boulevard
Rapid City, SD 57701-2642

Phone 605-348-5311

Mailing address

506 West Boulevard
Rapid City, SD 57701-2642

Phone 605-348-5311

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