Individual
DAVID PACHUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
751 ROSE DR, SUITE 108, BIG LAKE, MN 55309-8835
(763) 262-0259
Mailing address
751 ROSE DR, SUITE 108, BIG LAKE, MN 55309-8835
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13665
MN
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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