| NPI | 1932403938 |
|---|---|
| Doing Business As | NORTHEASTERN DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGG VAN BEEK Owner 605-226-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M664) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |