Chippewa Valley Technical College

NPI #1093868358 in Eau Claire, Wisconsin

Provider Information

NPI Number
1093868358
Entity Type
Organization
Organization Name
Chippewa Valley Technical College
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 19, 2007
Last Updated
Apr 19, 2013

Practice Location

Address
620 W CLAIREMONT AVE
Address 2
HEC 120
ZIP Code
54701-6120
Phone
(715) 833-6271

Authorized Official

Name
MS. SHELLY OLSON, MS
Title
CAMPUS ADMINISTRATOR
Phone
(715) 833-6675

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Dentist - Pediatric DentistryPediatric Dentistry
Dentist - Dental Public HealthDental Public Health
Dentist - General PracticeGeneral Practice

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