Individual
TIMOTHY MICHAEL KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
764 CRESTVIEW DR, REEDSBURG, WI 53959-2581
(608) 524-4213
Mailing address
1830 HUNTINGTON PARK DR APT 2111, REEDSBURG, WI 53959-1471
(698) 459-0071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6000025-15
WI
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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