| NPI | 1982813440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SAUNDERS President 605-342-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD DO614) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SD DO616) |
| 1223G0001X Dentist, General Practice (Licence: SD M493) | |
| 1223G0001X Dentist, General Practice (Licence: SD M366) | |
| 124Q00000X Dental Hygienist (Licence: SD 177) | |
| 124Q00000X Dental Hygienist (Licence: SD 646) | |
| 124Q00000X Dental Hygienist (Licence: SD 1084) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |