| NPI | 1063917714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN W. HILBRANDS Dentist 605-261-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD D1034) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |