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Organization
RIVER VALLEY PEDIATRIC DENTAL SPECIALISTS
Active
Organization
RIVER VALLEY PEDIATRIC DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENA J CHRISTMAN DMD (DMD/OWNER)
(715) 726-1060
Entity
Organization
Contact information
Practice address
425 W PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729-3389
(715) 726-1060
(715) 726-1066
Mailing address
425 W PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729-3389
(715) 726-1060
(715) 726-1066
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6936
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689923898
—
WI
Enumeration date
05/22/2014
Last updated
05/22/2014
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