Northpark Dental LLC
NPI #1831562156 in Chippewa Falls, Wisconsin
Provider Information
- NPI Number
- 1831562156
- Entity Type
- Organization
- Organization Name
- Northpark Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 9, 2015
- Last Updated
- Nov 9, 2015
Practice Location
- Address
- 235 W PRAIRIE VIEW RD STE 1
- City
- Chippewa Falls
- State
- Wisconsin
- ZIP Code
- 54729-3639
- Phone
- (715) 720-9125
Authorized Official
- Name
- GENIE KUBLE
- Title
- CONTACT OFFICER
- Phone
- (920) 450-0157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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