| NPI | 1346069135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE MICHAEL DANA Vice President/Orthodontist 605-717-2722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |