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 |