| NPI | 1588773386 |
|---|---|
| Doing Business As | PRAIRIE WINDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN MENGENHAUSEN CEO 605-772-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-06-17 |