NPI | 1396054748 |
---|---|
Doing Business As | PARK CENTER DENTAL CARE |
Entity Type | Organization |
Authorized Contact | LORI L LARSEN Pat RN Er 605-338-3577 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2010-10-04 |
Last Update Date | 2010-10-04 |