| NPI | 1124337787 |
|---|---|
| Doing Business As | WILSON PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATE S HAAVE Dentist / Owner 605-343-9352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD D0812) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SD M697) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |