CLEAR LAKE DENTAL LLC is a dental clinic center in Clear Lake, SD. CLEAR LAKE DENTAL LLC NPI is 1629436381. The provider is registered as an organization entity type.
The provider's business location address is:
210 3RD AVE SOUTH
CLEAR LAKE, SD
ZIP 57226
Phone: (605) 874-2230
Fax: (605) 874-2675
The provider's authorized official is Brian Kelly Prouty .
The authorized official title is Owner and has the following contact phone number (605) 874-2230.
The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.