| Chippewa Dental, Llc | |
|
405 W Prairie View Rd Chippewa Falls WI 54729-3389 | |
| (715) 723-7175 | |
| Not Available |
| Full Name | Chippewa Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 405 W Prairie View Rd, Chippewa Falls, Wisconsin |
| Authorized Official Name and Position | Olga Grenova (DIRECTOR OF ACCOUNTING) |
| Authorized Official Contact | 6088332213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chippewa Dental, Llc 405 W Prairie View Rd Chippewa Falls WI 54729-3389 Ph: (715) 723-7175 | Chippewa Dental, Llc 405 W Prairie View Rd Chippewa Falls WI 54729-3389 Ph: (715) 723-7175 |
| NPI Number | 1699288555 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699288555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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