Organization
BURLINGTON DENTAL HEALTH CARE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWARD KNUTSON DDS (PRESIDENT)
(262) 763-3012
Entity
Organization
Contact information
Practice address
190 GARDNER AVE, SUITE 4, BURLINGTON, WI 53105-2160
(262) 763-3012
(262) 763-4588
Mailing address
190 GARDNER AVE, SUITE 4, BURLINGTON, WI 53105-2160
(262) 763-3012
(262) 763-4588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5687-015
WI
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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