NPI | 1831242148 |
---|---|
Entity Type | Organization |
Authorized Contact | MONTY D BECHTOLD President 605-224-5355 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD 7803450) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-08-22 |