Individual
DR. MYRON JAMES WALDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
109 COFFEE ST, LONESBORO, MN 55949
(507) 467-2269
(507) 469-2269
Mailing address
PO BOX 312, 109 COFFEE ST, LONESBORO, MN 55949
(507) 467-2269
(507) 469-2269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8717
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5480213
MN CARE
MN
Enumeration date
01/11/2007
Last updated
07/08/2007
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