NPI | 1447329842 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK W GARNER President 605-737-3150 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD D0608) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |