Organization
MARK J KNEEPKENS
Active
Other names
Doctors Denture Systems
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOSEPH KNEEPKENS DDS (OWNER)
(262) 542-6170
Entity
Organization
Contact information
Practice address
601 N GRAND AVE, WAUKESHA, WI 53186-4918
(262) 542-6170
(262) 542-6194
Mailing address
601 N GRAND AVE, WAUKESHA, WI 53186-4918
(262) 542-6170
(262) 542-6194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2614
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383-71200
—
WI
Enumeration date
10/22/2007
Last updated
06/23/2008
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