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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