| Luke Waln Dentistry, Pc | |
|
25477 Main St Nisswa MN 56468-5001 | |
| (218) 963-6330 | |
| (218) 963-6332 |
| Full Name | Luke Waln Dentistry, Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 01/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427680040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Nisswa Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25579 Church St, Nisswa, MN 56468 Phone: 218-963-2970 |