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Organization
ALL FAMILY DENTAL CHIPPEWA FALLS LLC
Active
Organization
ALL FAMILY DENTAL CHIPPEWA FALLS LLC
Active
Other names
Christman Dental
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA GRENOVA (CONTROLLER)
(608) 833-2213
Entity
Organization
Contact information
Practice address
425 W PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729-3389
(715) 726-1060
Mailing address
425 W PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729-3389
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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