Clearwater Dental Sc

NPI 1134408966 - Dentist - 122300000X

NPI Details
NPI 1134408966
Enumeration Date 08/10/2011
Last Updated 08/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BOBBI S BOBBI
Position OFFICE MANAGER
Phone (715) 514-5300
Fax (715) 514-5302
Practice Location
431 E CLAIREMONT AVE STE B
EAU CLAIRE WI, 54701-3685, US
Phone (715) 514-5300
Fax (715) 514-5302
Business Location
431 E CLAIREMONT AVE STE B
EAU CLAIRE WI, 54701-3685, US
Phone (715) 514-5300
Fax (715) 514-5302
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 1697G
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According to our database, Clearwater Dental Sc NPI is 1134408966, taxonomy code is 122300000X and license number is 1697G, license state is located at Minnesota. Clearwater Dental Sc physically located at 431 E Clairemont Ave Ste B, Eau Claire WI, 54701-3685. NPI Number 1033115704 has the healthcare provider type.

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1134408966 NPI number is provided on an as is basis without warranty of any kind. 1134408966 is maintained by the National Plan & Provider Enumeration System. The contents of Clearwater Dental Sc are for informational purposes only.