| NPI | 1164680484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD R KUSEK Dental Practice Owner 605-371-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M658) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |