All Family Dental Chippewa Falls LLC
NPI #1467919985 in Chippewa Falls, Wisconsin
Provider Information
- NPI Number
- 1467919985
- Entity Type
- Organization
- Organization Name
- All Family Dental Chippewa Falls LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 21, 2019
- Last Updated
- Feb 21, 2019
Practice Location
- Address
- 425 W PRAIRIE VIEW RD
- City
- Chippewa Falls
- State
- Wisconsin
- ZIP Code
- 54729-3389
- Phone
- (715) 726-1060
Authorized Official
- Name
- OLGA GRENOVA
- Title
- CONTROLLER
- Phone
- (608) 833-2213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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