Chippewa Valley Dental Health, Ltd.

NPI 1053439851 - Dentist - 1223G0001X

NPI Details
NPI 1053439851
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANDREW MARK ANDREW
Position BUSINESS ASSISTANT
Phone (715) 832-3832
Fax (715) 832-3831
Practice Location
2914 LONDON RD
EAU CLAIRE WI, 54701-6831, US
Phone (715) 832-3832
Fax (715) 832-3831
Business Location
2914 LONDON RD
EAU CLAIRE WI, 54701-6831, US
Phone (715) 832-3832
Fax (715) 832-3831
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 5001478
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According to our database, Chippewa Valley Dental Health, Ltd. NPI is 1053439851, taxonomy code is 1223G0001X and license number is 5001478, license state is located at Wisconsin. Chippewa Valley Dental Health, Ltd. physically located at 2914 London Rd, Eau Claire WI, 54701-6831. NPI Number 1033115704 has the healthcare provider type.

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1053439851 NPI number is provided on an as is basis without warranty of any kind. 1053439851 is maintained by the National Plan & Provider Enumeration System. The contents of Chippewa Valley Dental Health, Ltd. are for informational purposes only.