| NPI | 1366835019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELW WILLIAM CARLSON Doctor Of Dental Surgery 605-697-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M409) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |