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Individual

TIMOTHY DALE KNOTEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
650 S MAIN ST, RIVER FALLS, WI 54022
(715) 425-6732
(715) 425-0101
Mailing address
650 S MAIN, RIVER FALLS, WI 54022
(715) 425-6732
(715) 425-0101

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3944
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33690500
WI
Enumeration date
11/27/2006
Last updated
07/08/2007
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