Lake Valley Dental PLLC
Lake Valley Dental PLLC is a Dental Clinic/Center in Wheaton, Minnesota. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1511 BroadwayWheaton, MN 56296-1040
Phone: (320) 563-4800
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1720755531 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Johnathan Wermers — Dentist · (605) 770-8667 |
| NPI enumerated | August 28, 2021 |
| Last updated in NPPES | August 28, 2021 |
| Certification date | August 28, 2021 |
| Mailing address | 1511 Broadway, Wheaton, MN 56296-1040 |