Chippewa Valley Dental, LLC
NPI #1336645100 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1336645100
- Entity Type
- Organization
- Organization Name
- Chippewa Valley Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 2, 2018
- Last Updated
- Apr 2, 2018
Practice Location
- Address
- 2914 LONDON RD
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54701-6831
- Phone
- (715) 832-3832
Authorized Official
- Name
- GENIE KUBLE
- Title
- OFFICE MANAGER
- Phone
- (715) 833-8755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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