| NPI | 1669607719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY KAPPENMAN Dentist 605-361-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M693) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SD m791) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |