| Walleye Dental Llc | |
|
1906 8th St Nw Ste C Austin MN 55912-2478 | |
| (949) 403-7044 | |
| (949) 607-4267 |
| Full Name | Walleye Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1906 8th St Nw Ste C, Austin, Minnesota |
| Authorized Official Name and Position | Caryl L Hollinger (CFO) |
| Authorized Official Contact | 9494037044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walleye Dental Llc 85 Argonaut Ste 220 Aliso Viejo CA 92656-4105 Ph: () - | Walleye Dental Llc 1906 8th St Nw Ste C Austin MN 55912-2478 Ph: (949) 403-7044 |
| NPI Number | 1922809326 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 03/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922809326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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