| NPI | 1003114075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENON K. FARMER President 605-352-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD Temp307) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |