| NPI | 1275692402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J LOFTUS Dentist 605-341-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M504) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |