Valley View Dental Inc | |
1302 Marshall St St Peter MN 56082 | |
(507) 934-3332 | |
(507) 934-3336 |
Full Name | Valley View Dental Inc |
---|---|
Speciality | Dentist |
Location | 1302 Marshall St, St Peter, Minnesota |
Authorized Official Name and Position | Jennifer R Miller (OWNER) |
Authorized Official Contact | 5079343332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Valley View Dental Inc 1302 Marshall St St Peter MN 56082 Ph: (507) 934-3332 | Valley View Dental Inc 1302 Marshall St St Peter MN 56082 Ph: (507) 934-3332 |
NPI Number | 1447426010 |
---|---|
Provider Enumeration Date | 05/05/2008 |
Last Update Date | 05/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447426010 | NPI | - | NPPES |
886473000 | Medicaid | MN | |
D11490 | Other | MN | MINNESOTA LICENSE NUMBER DENTAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D11490 (Minnesota) | Primary |