| NPI | 1427428614 |
|---|---|
| Doing Business As | PRAIRIE SKIES FAMILY DENTRISTRY |
| Entity Type | Organization |
| Authorized Contact | ERIK WISEMAN Dentist / Owner 605-692-9555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: SD D0624) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2017-03-02 |