| NPI | 1538889738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMM TOROK-HOBEN CEO 605-341-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |