| NPI | 1669079257 |
|---|---|
| Doing Business As | WEST RIVER PERIODONTICS AND IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KELSEY T LOWE Receptionist 605-721-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |