| NPI | 1073258414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK CHRISTOPHER President 605-376-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2024-08-14 |