| NPI | 1679785216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R. MISKIMINS Dentist 605-996-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M535) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |