Racine Tooth Town Dentistry For Kids | |
3801 Washington Ave Racine WI 53405-2853 | |
(414) 949-1938 | |
Not Available |
Full Name | Racine Tooth Town Dentistry For Kids |
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Speciality | Clinic/center - Dental |
Location | 3801 Washington Ave, Racine, Wisconsin |
Authorized Official Name and Position | Nathan Henry Knutsen (OWNING DENTIST) |
Authorized Official Contact | 4147970328 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Racine Tooth Town Dentistry For Kids 3801 Washington Ave Racine WI 53405-2853 Ph: (414) 949-1938 | Racine Tooth Town Dentistry For Kids 3801 Washington Ave Racine WI 53405-2853 Ph: (414) 949-1938 |
NPI Number | 1427610179 |
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Provider Enumeration Date | 07/02/2019 |
Last Update Date | 07/02/2019 |
Identifier | Type | State | Issuer |
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1427610179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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