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Contact Information

AFFORDABLE DENTURES - EAU CLAIRE, S.C.
4850 KEYSTONE XING
EAU CLAIRE, WI54701-5076
 Phone: 715-855-1020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AFFORDABLE DENTURES - EAU CLAIRE, S.C.

NPI Number 1932467222
LBN Legal business name AFFORDABLE DENTURES - EAU CLAIRE, S.C.
Authorized official PHILLIP DOUGLAS - (PRACTICE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2012
Last updated 04/25/2012 - About 14 years ago
Identifiers
WI License # 6330-015
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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