| NPI | 1902512163 |
|---|---|
| Doing Business As | SUMMIT ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | STEVEN FREDERICK WISWALL President 605-868-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |