NPI | 1073819991 |
---|---|
Doing Business As | FAMILY DENTISTRY OF SIOUX FALLS |
Entity Type | Organization |
Authorized Contact | KARI M BOLEN Director/President 605-261-6488 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD D0926) |
Enumeration Date | 2011-02-10 |
Last Update Date | 2011-02-10 |