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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