Organization
BROWN DEER DENTAL HEALTH CENTER, SC
Active
Other names
Tooth Town Dentistry for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN KNUTSEN DDS (OWNER)
(414) 797-0328
Entity
Organization
Contact information
Practice address
6025 N GREEN BAY AVE, GLENDALE, WI 53209-3811
(414) 797-0328
(414) 355-0242
Mailing address
6025 N GREEN BAY AVE, GLENDALE, WI 53209-3811
(414) 797-0328
(414) 355-0242
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
08/19/2024
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