NPI | 1437350253 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES T ANDERSON Owner 605-224-6111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M540) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2020-08-22 |