| NPI | 1720198062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON J GREBNER Owner 605-226-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M415) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SD M611) |
| 1223G0001X Dentist, General Practice (Licence: SD M933) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-04-11 |