NPI | 1013139393 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL D. HOMER President And CEO 605-336-3446 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SD D0509) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |