Search › Minnesota › 122300000X
Jaime Waller, DDS
NPI 1639482474 · on the registry since 2010
Practice
- Address
- 21343 Archibald Road
Deerwood, MN 56444 - Phone
- (218) 534-3141
- Fax
- (218) 534-3949
- Organisation at this address
- Deerwood Dental, Inc
Northland Smiles Corporation PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota