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Organization
VAILLANT DENTAL SERVICES, LLC
Active
Organization
VAILLANT DENTAL SERVICES, LLC
Active
Other names
VAILLANT FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS PETER VAILLANT DDS (MANAGING PARTNER)
(651) 388-6709
Entity
Organization
Contact information
Practice address
421 W 4TH ST, RED WING, MN 55066-2555
(651) 388-6709
(651) 388-3187
Mailing address
421 W 4TH ST, RED WING, MN 55066-2555
(651) 388-6709
(651) 388-3187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11524
MN
1223G0001X
General Practice Dentistry
Primary
7024
MN
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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