| NPI | 1205962594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMRA OR RICHARD RAE OR DWIGHT ALLEN Office Manager Or D.D.S. President 605-221-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SD M850) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |