| NPI | 1417689274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALA FRENCH Office Manager 605-391-9590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-03-07 |