| NPI | 1043351018 |
|---|---|
| Doing Business As | DBA/ DESTINATION DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DIANA LATINOW Dentist / Owner 605-673-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M-490) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2018-08-02 |