NPI | 1942325089 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS R GRABER President 605-339-1369 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD M496) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-08-22 |