Organization
KNUTSON FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAITLIN KNUTSON DDS (DENTIST/OWNER)
(715) 523-9874
Entity
Organization
Contact information
Practice address
501 LUCAS LN, ELLSWORTH, WI 54011-2800
(715) 523-9874
Mailing address
N7536 COUNTY ROAD J, BELDENVILLE, WI 54003-5418
(715) 523-9874
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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