| NPI | 1245769447 |
|---|---|
| Doing Business As | ALCESTER DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN MENGENHAUSEN CEO 605-772-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |