Individual
ROBIN D KNODEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4060 N MAIN ST, SUITE 102, RACINE, WI 53402-3121
(262) 639-7298
Mailing address
4060 N MAIN ST, SUITE 102, RACINE, WI 53402-3121
(262) 639-7298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4519
WI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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