| NPI | 1255752291 |
|---|---|
| Doing Business As | GENERAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATIE REARDON Dentist Owner 605-339-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD D0950) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |