| NPI | 1801338959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ELOISE BECKWITH Dentist 605-347-2509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD D1003) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |