Wld2, LLC

NPI #1699204172 in Chaska, Minnesota

Provider Information

NPI Number
1699204172
Entity Type
Organization
Organization Name
Wld2, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WEST LAKES DENTISTRY, PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 8, 2017
Last Updated
Jun 8, 2017

Practice Location

Address
132 PIONEER TRL
City
Chaska
ZIP Code
55318-1167
Phone
(952) 361-3740

Authorized Official

Name
DR. STEPHANIE LYNN MINER, DDS
Title
PRESIDENT
Phone
(612) 387-5009

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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