Overview
Name: LAKE VALLEY DENTAL PLLC
Specialty: Dental Clinic/Center
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities
Classification: Clinic/Center
Specialization: Dental.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: LAKE VALLEY DENTAL PLLC,1511 BROADWAY,WHEATON,MN,562961040,US
Mailing Address: LAKE VALLEY DENTAL PLLC,1511 BROADWAY,WHEATON,MN,562961040,US
Contact #
Practice location phone #: 3205634800
Practice location fax #:
Mailing address Phone #: 3205634800
Mailing Address fax #:
Authorized official Name/Telephone #:DR., JOHNATHAN, WERMERS, DMD, DENTIST 6057708667
Misc
Date NPI was obtained: 08/28/2021
Last data data was updated: 08/28/2021
Insurances: