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Individual
JUSTIN ROBERT SCHAACK
Active
Individual
JUSTIN ROBERT SCHAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DR60468188
WA
1223G0001X
General Practice Dentistry
Primary
31152
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2014
Last updated
02/15/2016
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