| NPI | 1043394265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L MASSA President 605-745-3975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M837) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |