NPI | 1497825343 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL JOSEPH KRUMP President Of Corporation 605-342-4882 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M922) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |