Individual
MICHAEL KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6518 LONETREE BLVD # 1061, ROCKLIN, CA 95765
(916) 573-1015
Mailing address
6518 LONETREE BLVD # 1061, ROCKLIN, CA 95765-5874
(916) 573-1015
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
61267
CA
Other
Enumeration date
04/26/2011
Last updated
03/24/2019
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