Individual
DR. ALYSE MARIE KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
GRUBER ROAD, FORT BRAGG, NC 28310-0001
(414) 388-2324
Mailing address
7035 BLAIR RD NW APT 113, WASHINGTON, DC 20012-1962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002167-15
WI
Other
Enumeration date
03/22/2019
Last updated
06/18/2024
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