| NPI | 1083739783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER L ALBERTSON President 605-886-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SD M707) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |