| NPI | 1023436276 |
|---|---|
| Former Legal Business Name | BLACK HILLS ENDODONTIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LYDE JEFFERSON ADAMS Endodontist 605-348-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |