| NPI | 1861549883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY LEWIS YEOMAN Owner 605-472-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD m985) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |