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Individual

SUSANNE ROSE KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.H.D

Contact information

Practice address
212 MAPLE STREET, TURTLE LAKE, WI 54889
(715) 986-2599
Mailing address
225 OSTERMANN DRIVE, CESA #11 RURAL HEALTH DENTAL CLINIC, TURTLE LAKE, WI 54889-0000
(715) 986-2020
(715) 986-2041

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5072-16
WI

Other

Enumeration date
01/06/2012
Last updated
01/06/2012
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