Organization
CHIPPEWA VALLEY DENTAL HEALTH, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MARK OLSON (BUSINESS ASSISTANT)
(715) 832-3832
Entity
Organization
Contact information
Practice address
2914 LONDON RD, EAU CLAIRE, WI 54701-6831
(715) 832-3832
(715) 832-3831
Mailing address
2914 LONDON RD, EAU CLAIRE, WI 54701-6831
(715) 832-3832
(715) 832-3831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001478
WI
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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