| NPI | 1649556978 |
|---|---|
| Other Name | THE DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | JUSTIN D MOODY Owner 605-716-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M881) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2016-09-22 |