Organization
VALLEY VIEW DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER R MILLER DDS (OWNER)
(507) 934-3332
Entity
Organization
Contact information
Practice address
1302 MARSHALL ST, ST PETER, MN 56082
(507) 934-3332
(507) 934-3336
Mailing address
1302 MARSHALL ST, ST PETER, MN 56082
(507) 934-3332
(507) 934-3336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11490
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886473000
—
MN
01
—
D11490
MINNESOTA LICENSE NUMBER DENTAL
MN
Enumeration date
05/05/2008
Last updated
05/05/2008
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