NPI | 1881893972 |
---|---|
Doing Business As | FALLS DENTAL CENTRE |
Entity Type | Organization |
Authorized Contact | JOHN SMALLCOMB President 605-371-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: SD M857) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2007-07-17 |