| NPI | 1114067048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN C JOHNSON President 605-432-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SD M995) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |