| NPI | 1780741413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN L GATES Doctor 605-692-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M641) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-06-11 |