| NPI | 1194859256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L BOCKWOLDT Owner 605-348-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M636) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-01-02 |