| Maple Ridge Dental | |
|
3110 Craig Rd Eau Claire WI 54701-6186 | |
| (715) 552-7227 | |
| Not Available |
| Full Name | Maple Ridge Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3110 Craig Rd, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Genie Kuble (CONTACT OFFICER) |
| Authorized Official Contact | 9204500157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Ridge Dental 3110 Craig Rd Eau Claire WI 54701-6186 Ph: () - | Maple Ridge Dental 3110 Craig Rd Eau Claire WI 54701-6186 Ph: (715) 552-7227 |
| NPI Number | 1861773921 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 06/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861773921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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