Individual
TANIA M MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
26425 LAKELAND AVE S, WEBSTER, WI 54893-8343
(715) 866-4271
Mailing address
7636 TOWER RD, SIREN, WI 54872-8301
(715) 497-3335
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1002920
WI
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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