| NPI | 1326243114 |
|---|---|
| Doing Business As | VAILLANT FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DENNIS PETER VAILLANT Managing Partner 651-388-6709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 7024) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 11524) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |