MATTHEW JONATHON VAILLANT

RED WING, MN
NPI1982776449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  D11524)
Enumeration Date2006-11-13
Last Update Date2007-07-08
Business Address
Dr. MATTHEW JONATHON VAILLANT DDS
421 W 4TH ST
RED WING, MN 55066-2555
Phone number: 651-388-6709
Mailing Address
Dr. MATTHEW JONATHON VAILLANT DDS
16699 FARRAGO TRL
FARMINGTON, MN 55024-7830
Phone number: 952-997-7123