| NPI | 1578913232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA VON HENDRICKS Dental Chief 605-355-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD 580) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |