Organization
WAYNE O SLETTEN DDS MSD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE ORVILLE SLETTEN DDS (OWNER)
(507) 238-4512
Entity
Organization
Contact information
Practice address
1206 W FRONT ST, ALBERT LEA, MN 56007-1903
(507) 373-1915
(507) 373-1254
Mailing address
1235 HIGHWAY 15 S, FAIRMONT, MN 56031-4461
(507) 238-4512
(507) 238-4609
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7015
MN
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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