| NPI | 1497099501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT WILLIAM LOUDON President 605-338-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD M691) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |