| Chippewa Valley Endodontics Llc | |
|
3004 Golf Rd Ste 102 Eau Claire WI 54701-8794 | |
| (715) 552-8165 | |
| Not Available |
| Full Name | Chippewa Valley Endodontics Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3004 Golf Rd Ste 102, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Kendra Kay Boda (PRESIDENT/OWNER) |
| Authorized Official Contact | 7155528165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chippewa Valley Endodontics Llc 3004 Golf Rd Ste 102 Eau Claire WI 54701-8794 Ph: (715) 552-8165 | Chippewa Valley Endodontics Llc 3004 Golf Rd Ste 102 Eau Claire WI 54701-8794 Ph: (715) 552-8165 |
| NPI Number | 1285141481 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285141481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 6901-15 (Wisconsin) | Primary |
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