| NPI | 1659541225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE DANA Vice President/Orthodontist 605-343-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2021-03-02 |