Organization
SWEENEY FAMILY DENTAL CHIPPEWA FALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA GRENOVA (DIRECTOR OF ACCOUNTING)
(608) 833-2213
Entity
Organization
Contact information
Practice address
134 W COLUMBIA ST, CHIPPEWA FALLS, WI 54729-2347
(715) 723-5581
Mailing address
8025 EXCELSIOR DR, MADISON, WI 53717-1900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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