| NPI | 1326295361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK RATH Owner 605-224-5966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SD M929) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |