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1154489656
NILES KNIGHT BAKKE
WAUWATOSA, WI
NPI
1154489656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WI 2379-015)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
Dr. NILES KNIGHT BAKKE DDS
2457 N MAYFAIR RD SUITE 203
WAUWATOSA, WI 53226-1405
Phone number: 414-258-0963
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Mailing Address
Dr. NILES KNIGHT BAKKE DDS
2457 N MAYFAIR RD SUITE 203
WAUWATOSA, WI 53226-1405
Phone number: 414-258-0963
Copy
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