Individual
JOSEPH LEO KOTNOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 S 7TH STREET, LA CROSSE, WI 54601
(608) 782-3003
(608) 782-3120
Mailing address
201 S 7TH STREET, LA CROSSE, WI 54601
(608) 782-3003
(608) 782-3120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2275
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33388900
—
WI
Enumeration date
09/25/2006
Last updated
07/08/2007
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