Maple Ridge Dental
NPI #1861773921 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1861773921
- Entity Type
- Organization
- Organization Name
- Maple Ridge Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 2, 2011
- Last Updated
- Jun 26, 2012
Practice Location
- Address
- 3110 CRAIG RD
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54701-6186
- Phone
- (715) 552-7227
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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