DR. Jaime Beth Waller, DDS

NPI #1639482474 in Deerwood, Minnesota

Provider Information

NPI Number
1639482474
Entity Type
Individual
Name
DR. Jaime Beth Waller, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 21, 2010
Last Updated
Apr 19, 2019

Practice Location

Address
21343 ARCHIBALD ROAD
ZIP Code
56444
Phone
(218) 534-3141

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist

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