Individual
AMY GRACE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
404 WISCONSIN AVE, AMERY, WI 54001-1071
(715) 268-7177
Mailing address
404 WISCONSIN AVE, AMERY, WI 54001-1071
(715) 268-7177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1000996-15
WI
Other
Enumeration date
08/28/2014
Last updated
11/23/2015
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