| NPI | 1609483015 |
|---|---|
| Doing Business As | WINNER DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRADLEY FARLEY Owner Dentist 605-842-1793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |