Luke Waln Dentistry, Pc | |
25477 Main St Nisswa MN 56468-5001 | |
(218) 963-6330 | |
(218) 963-6332 |
Full Name | Luke Waln Dentistry, Pc |
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Speciality | Dentist |
Location | 25477 Main St, Nisswa, Minnesota |
Authorized Official Name and Position | Luke E Waln (OWNER/DENTIST) |
Authorized Official Contact | 2189636330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Luke Waln Dentistry, Pc Po Box 454 Nisswa MN 56468-0454 Ph: (218) 963-6330 | Luke Waln Dentistry, Pc 25477 Main St Nisswa MN 56468-5001 Ph: (218) 963-6330 |
NPI Number | 1427680040 |
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Provider Enumeration Date | 02/11/2020 |
Last Update Date | 01/27/2022 |
Identifier | Type | State | Issuer |
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1427680040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |