Organization · Type 2 NPI

Wld2, LLC

Dental Clinic/Center · Chaska, MN

NPI number 1699204172 Active

Practice location

132 Pioneer Trl
Chaska, MN 55318-1167

Call (952) 361-3740 Map

Mailing address

1635 Sunnybrook Cir
Minnetrista, MN 55364-1276

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	D11974 (MN)

Dental Clinic/Center: Definition to come...

3 other providers at this address

Other dental clinic/center providers in Chaska

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NPI record

NPI: 1699204172
Entity type: Organization (Type 2)
Issued: Jun 8, 2017
Last updated: Jun 8, 2017
Status: Active
Subpart: Yes of West Lakes Dentistry, PA

Other names

<unavail>
West Lakes Dentistry · doing business as

Authorized official

Dr. Stephanie Lynn Miner, DDS
President
(612) 387-5009

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About NPI 1699204172

Wld2, LLC's National Provider Identifier is 1699204172, issued on Jun 8, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chaska, MN. The record was last updated on Jun 8, 2017.