| NPI | 1528226958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JON SHAWD Owner 605-338-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SD M993) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |