| NPI | 1790829398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GEORGE CROSSWAIT President 605-642-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M-622) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |