NPI | 1013394535 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA WADE NEHRING Doctor / Owner 605-348-2556 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: SD D1040) |
Enumeration Date | 2015-05-05 |
Last Update Date | 2015-05-05 |