Organization
SCHMALZ DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN SCHMALZ (OWNER)
(605) 877-3798
Entity
Organization
Contact information
Practice address
1147 EGLIN ST, RAPID CITY, SD 57701-9612
(605) 877-3798
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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