| NPI | 1679755474 |
|---|---|
| Doing Business As | DEADWOOD DENTAL |
| Entity Type | Organization |
| Authorized Contact | LENNARD HOPPER Owner 605-578-3810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD D0612) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |