Organization
EAGLEVIEW DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W. KNICKMEYER DDS (PARTNER)
(608) 643-3855
Entity
Organization
Contact information
Practice address
476 WATER ST, PRAIRIE DU SAC, WI 53578-1127
(608) 643-3855
(608) 643-6295
Mailing address
PO BOX 126, 476 WATER ST., PRAIRIE DU SAC, WI 53578-0126
(608) 643-3855
(608) 643-6295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002061-015
WI
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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