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Individual

ARNOLD J. UTZINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
880 14TH ST, BARABOO, WI 53913-1540
(608) 356-6611
Mailing address
880 14TH STREET, BARABOO, WI 53913-1540
(608) 356-6611

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50000842
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50000842
STATE LICENSE
WI
Enumeration date
11/24/2006
Last updated
07/08/2007
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