| NPI | 1194829101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STUART WINGFIELD Owner President 605-996-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SD M252) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |