Organization
WALLEYE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARYL L HOLLINGER (CFO)
(949) 403-7044
Entity
Organization
Contact information
Practice address
1906 8TH ST NW STE C, AUSTIN, MN 55912-2478
(949) 403-7044
(949) 607-4267
Mailing address
85 ARGONAUT STE 220, ALISO VIEJO, CA 92656-4105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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