| NPI | 1851453369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BENJAMIN SYNHORST President 712-262-7350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2010-02-01 |