| NPI | 1720129398 |
|---|---|
| Doing Business As | PINE PEAKS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JON K SCHAACK President 605-716-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: SD M943,M947) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2016-03-10 |