| NPI | 1659543973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY P WILLIAMS Owner 605-348-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: SD M808) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |