| 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 |