Chippewa Valley Endodontics LLC
NPI #1285141481 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1285141481
- Entity Type
- Organization
- Organization Name
- Chippewa Valley Endodontics LLC
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Jan 9, 2018
- Last Updated
- Jan 9, 2018
Practice Location
- Address
- 3004 GOLF RD STE 102
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54701-8794
- Phone
- (715) 552-8165
Authorized Official
- Name
- KENDRA KAY BODA, DDS, MS
- Title
- PRESIDENT/OWNER
- Phone
- (715) 552-8165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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