| NPI | 1720416506 |
|---|---|
| Doing Business As | BLACK HILLS ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | LYDE J ADAMS Pres/CEO 605-348-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD D1012) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2014-07-08 |