| NPI | 1023373800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL RAY STONECIPHER Owner 605-348-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M398) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |