| NPI | 1013968718 |
|---|---|
| Doing Business As | BLACK HILLS PEDIATRIC DENTISTRY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KELLI J JOBMAN CEO 605-718-9224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2022-08-09 |