Jaime Beth Waller D.D.S.

NPI 1639482474 - Dentist - 1223G0001X

NPI Details
NPI 1639482474
Gender Female
Enumeration Date 07/21/2010
Last Updated 07/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1026 3RD ST
INTERNATIONAL FALLS MN, 56649-2209, US
Phone (218) 283-3432
Fax
Business Location
1026 3RD ST
INTERNATIONAL FALLS MN, 56649-2209, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D12840
Remove 1639482474 NPI Number
 

According to our database, Dr. Jaime Beth Waller D.D.S. NPI is 1639482474, taxonomy code is 1223G0001X and license number is D12840, license state is located at Minnesota. Jaime Beth Waller D.D.S. physically located at 1026 3rd St, International Falls MN, 56649-2209. NPI Number Jaime Beth Waller D.D.S. has the Individual type.

Sponsored links

1639482474 NPI number is provided on an as is basis without warranty of any kind. 1639482474 is maintained by the National Plan & Provider Enumeration System. The contents of Jaime Beth Waller D.D.S. are for informational purposes only.