NPI | 1831576875 |
---|---|
Doing Business As | DAKOTA REGIONAL PERIODONTICS |
Entity Type | Organization |
Authorized Contact | JOSHUA WADE NEHRING Periodontist 605-348-2556 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SD D1040) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2015-04-29 |