| NPI | 1528482916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DONALD HORNER Partner 605-335-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SD M647) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |