Individual
DR. KAMI K WALLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 EAST MAIN STREET, SUITE 108, FRISCO, CO 80443
(970) 668-1029
Mailing address
6453 SCENIC HWY NE, BLACKDUCK, MN 56630-4340
(612) 210-9267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2016000084
MO
122300000X
Dentist
Primary
9963
CO
Other
Enumeration date
06/15/2009
Last updated
07/17/2018
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