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DR. MATTHEW JONATHON VAILLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
421 W 4TH ST, RED WING, MN 55066-2555
(651) 388-6709
Mailing address
16699 FARRAGO TRL, FARMINGTON, MN 55024-7830
(952) 997-7123

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11524
MN

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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