| NPI | 1497033872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L.H. FRIEDMAN Owner 605-343-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD d0946) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |