| NPI | 1144421645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E PARTNOY President 605-271-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: SD M771) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MN S79) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2014-07-24 |