Walleye Dental LLC

NPI #1922809326 in Austin, Minnesota

Provider Information

NPI Number: 1922809326
Entity Type: Organization
Organization Name: Walleye Dental LLC
Primary Specialty: Dentist
Enumeration Date: Mar 21, 2025
Last Updated: Mar 21, 2025

Practice Location

Address: 1906 8TH ST NW STE C
City: Austin
State: Minnesota
ZIP Code: 55912-2478
Phone: (949) 403-7044

Authorized Official

Name: CARYL L HOLLINGER
Title: CFO
Phone: (949) 403-7044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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