| NPI | 1396342846 |
|---|---|
| Doing Business As | MARK T LAVIN DDS PERIODONTICS & DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS LAVIN Dentist / Periodontist 605-332-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |