| NPI | 1902329949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PATRICK HERMANSON Endodontist 605-280-5966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SD D1057) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |