| NPI | 1922145861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JACK SCHULDT President 218-722-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MN D8754) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-03-07 |