Vaillant, Matthew Jonathon

Vaillant, Matthew Jonathon is an individual health care provider with primary practice located at 421 W 4Th St , Red Wing MN 55066-2555. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vaillant, Matthew Jonathon can be contacted via phone (651) 388-6709.

Contact Information

Primary practice address
421 W 4Th St Red Wing MN 55066-2555
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11524 Minnesota

Profile Details

NPI number 1982776449
LBN Legal business name Vaillant, Matthew Jonathon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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