| River Valley Pediatric Dental Specialists | |
|
425 W Prairie View Rd Chippewa Falls WI 54729-3389 | |
| (715) 726-1060 | |
| (715) 726-1066 |
| Full Name | River Valley Pediatric Dental Specialists |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 425 W Prairie View Rd, Chippewa Falls, Wisconsin |
| Authorized Official Name and Position | Rena J Christman (DMD/OWNER) |
| Authorized Official Contact | 7157261060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Pediatric Dental Specialists 425 W Prairie View Rd Chippewa Falls WI 54729-3389 Ph: (715) 726-1060 | River Valley Pediatric Dental Specialists 425 W Prairie View Rd Chippewa Falls WI 54729-3389 Ph: (715) 726-1060 |
| NPI Number | 1285046383 |
|---|---|
| Provider Enumeration Date | 05/22/2014 |
| Last Update Date | 05/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285046383 | NPI | - | NPPES |
| 1689923898 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6936 (Wisconsin) | Primary |
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