| NPI | 1518355841 |
|---|---|
| Doing Business As | PARKSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN BRANDNER Owner 605-498-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |