| NPI | 1679749337 |
|---|---|
| Doing Business As | FAMILY 1ST DENTAL OF SOUTH SIOUX |
| Entity Type | Organization |
| Authorized Contact | CHARLES S. SKOGLUND Owner 402-644-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |