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Lake Valley Dental Pllc
Dental Clinic/Center in Wheaton, Minnesota
NPI 1720755531

Lake Valley Dental Pllc is a Dental Clinic/Center based in Wheaton, MN and is specialized in Dental. Lake Valley Dental Pllc practices in Wheaton, MN. The NPI Number for Lake Valley Dental Pllc is 1720755531 and holds a License No. (Minnesota).

The current practice location address for Lake Valley Dental Pllc is 1511 Broadway, Wheaton, MN and can be reached out via phone at 320-563-4800.

Location: 1511 Broadway, Wheaton, MN, 56296-1040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720755531
Provider Name
Lake Valley Dental Pllc
Credential
Provider Entity Type
Organization
Address
1511 Broadway, Wheaton, MN, 56296-1040
Phone Number
320-563-4800
Fax Number
Provider Enumeration Date
08/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1511 Broadway
City
Wheaton
State
Minnesota
Zip
56296-1040
Phone Number
320-563-4800
Fax Number
person
Provider Business Mailing Address Details
Address
1511 Broadway
City
Wheaton
State
Minnesota
Zip
56296-1040
Phone Number
320-563-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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