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 |