CHIPPEWA VALLEY TECHNICAL COLLEGE NPI 1093868358

NPI Information

CHIPPEWA VALLEY TECHNICAL COLLEGE is a general practice dentist in Eau Claire, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHIPPEWA VALLEY TECHNICAL COLLEGE NPI is 1093868358. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

620 W CLAIREMONT AVE
HEC 120
EAU CLAIRE, WI
ZIP 54701-120
Phone: (715) 833-6271
Fax: (715) 833-6447

The provider's authorized official is Shelly Olson .
The authorized official title is Campus Administrator and has the following contact phone number (715) 833-6675.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 4/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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