| NPI | 1669675724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD M CARPENTER Dentist 605-342-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD D05042525) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |