| NPI | 1124776398 |
|---|---|
| Former Legal Business Name | CHANKU WASTE DENTAL PLLC |
| Entity Type | Organization |
| Authorized Contact | DAVID A REMPEL Owner 605-455-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |