Individual
SARA PODOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
715 SHERMAN AVE E, FORT ATKINSON, WI 53538-1992
(763) 360-0841
Mailing address
715 SHERMAN AVE E, FORT ATKINSON, WI 53538-1992
(920) 563-4322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6653
WI
Other
Enumeration date
02/25/2011
Last updated
07/21/2022
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