Individual
DR. DENNIS P. VAILLANT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
421 W 4TH ST, RED WING, MN 55066-2555
(651) 388-6709
(651) 388-3187
Mailing address
4336 LOOKOUT LN, RED WING, MN 55066-1512
(651) 388-7239
(651) 388-3187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7024
MN
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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