| NPI | 1083817498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN D JENSEN President 605-665-7479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M935) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-04-20 |