Individual
DR. JENNIFER LEE KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3000 RILEY RD, SPARTA, WI 54656-6588
(608) 269-5282
Mailing address
1940 LINDA LN, SPARTA, WI 54656-2475
(608) 269-2901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5770-015
WI
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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