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Organization
BROWN DEER DENTAL HEALTH CENTER, SC
Active
Organization
BROWN DEER DENTAL HEALTH CENTER, SC
Active
Other names
Tooth Town Dentistry for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN KNUTSEN DDS (OWNER)
(414) 797-0328
Entity
Organization
Contact information
Practice address
6025 N GREEN BAY AVE, GLENDALE, WI 53209-3811
(414) 797-0328
(414) 355-0242
Mailing address
6025 N GREEN BAY AVE, GLENDALE, WI 53209-3811
(414) 797-0328
(414) 355-0242
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
08/19/2024
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