Organization
MILACA FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SCHUETT DDS (DENTIST/OWNER/PRESIDENT)
(320) 983-6600
Entity
Organization
Contact information
Practice address
1015 5TH ST SE, MILACA, MN 56353
(320) 983-6600
(320) 983-3699
Mailing address
PO BOX 204, MILACA, MN 56353
(320) 983-6600
(320) 983-3699
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D13070
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4027272
MNID
MN
Enumeration date
06/05/2015
Last updated
05/12/2023
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