| D H C S C | |
|
215 5th Ave Eau Claire WI 54703-5698 | |
| (715) 832-3100 | |
| Not Available |
| Full Name | D H C S C |
|---|---|
| Speciality | Dentist |
| Location | 215 5th Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | John N Tessendorf (CEO) |
| Authorized Official Contact | 7158323100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D H C S C 215 5th Ave Eau Claire WI 54703-5698 Ph: (715) 832-3100 | D H C S C 215 5th Ave Eau Claire WI 54703-5698 Ph: (715) 832-3100 |
| NPI Number | 1952618225 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952618225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2245-15 (Wisconsin) | Primary |
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