Organization
CHIPPEWA VALLEY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (OFFICE MANAGER)
(715) 833-8755
Entity
Organization
Contact information
Practice address
2914 LONDON RD, EAU CLAIRE, WI 54701-6831
(715) 832-3832
Mailing address
2914 LONDON RD, EAU CLAIRE, WI 54701-6831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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