DR. Matthew Jonathon Vaillant, DDS

NPI #1982776449 in Red Wing, Minnesota

Provider Information

NPI Number: 1982776449
Entity Type: Individual
Name: DR. Matthew Jonathon Vaillant, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 421 W 4TH ST
City: Red Wing
State: Minnesota
ZIP Code: 55066-2555
Phone: (651) 388-6709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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