NPI | 1144307232 |
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Doing Business As | SKYWAY DENTAL CLINIC |
Former Legal Business Name | DR. FREDRICK R SCHILLING DDS PA |
Entity Type | Organization |
Authorized Contact | MARGARET CRAVEN THOMPSON Owner Dentist 612-338-4122 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D9274) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-11-01 |
Last Update Date | 2021-03-22 |