| NPI | 1700259496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D DICKES Dentist 605-376-7256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD D0519) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |