| NPI | 1083215487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PAUL WERMERSON Dentist/Orthodontist 605-274-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |