| NPI | 1821227596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JENSEN President 605-665-7479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SD M935) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |