| NPI | 1457493066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONARD O HAUFFE Sole Corporation Owner 605-692-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M722) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |