NPI | 1841295789 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES DUANE HOFFMAN President 605-352-3070 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SD M524) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2007-08-21 |