| NPI | 1316210347 |
|---|---|
| Doing Business As | THE DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MOODY Office Manager 605-716-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D8779) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D12070) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |