| NPI | 1720197882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD E. LEONARD Vice President 605-343-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M554) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |