Organization
JUST 4 KIDDS DENTISTRY FOR CHILDREN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN KNUTSEN DDS (OWNER)
(920) 500-8500
Entity
Organization
Contact information
Practice address
1720 CONGRESS AVE, OSHKOSH, WI 54901-7701
(920) 500-8500
Mailing address
1720 CONGRESS AVE, OSHKOSH, WI 54901-7701
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
11/21/2024
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