| Organization Name: | MILACA FAMILY DENTAL, LLC |
| NPI Number: | 1598145419 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICHOLAS SCHUETT (DENTIST) |
| Mailing Address: | 130 2nd Ave Sw Milaca |
| State: | MN US |
| Postal Code: | 563531106 |
| Phone Number: | 3209836600 |
| Fax Number: | 3209833699 |
| NPI Enumeration Date: | 06/05/2015 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | D13070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |