NPI | 1164538450 |
---|---|
Former Legal Business Name | JONES & COLBERT INC |
Entity Type | Organization |
Authorized Contact | KIM ELAINE SUGA Dentist 605-338-9242 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-08-21 |
Last Update Date | 2019-04-09 |