| NPI | 1730380536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN THOMAS KNUTZEN President 605-692-9463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD D0402) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-08-21 |