| NPI | 1619412384 |
|---|---|
| Doing Business As | CANTON DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRIS J DIAZ-FREED Dentist 605-987-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SD D1004) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |