| NPI | 1932224631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A BENSON President Of Corporation 605-339-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SD M740) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: SD M348) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |