Individual
KAITLIN KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
501 LUCAS LN, ELLSWORTH, WI 54011-2800
(715) 273-3700
Mailing address
PO BOX 310, ELLSWORTH, WI 54011-0310
(715) 273-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001604-15
WI
Other
Enumeration date
06/18/2017
Last updated
06/14/2021
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