| 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 |