| NPI | 1508078684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS J SHAWD President 605-498-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M993) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |