| NPI | 1427551126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL BISSON Owner/Dentist 605-490-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: SD 366) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |