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1427610179
RACINE TOOTH TOWN DENTISTRY FOR KIDS
RACINE, WI
NPI
1427610179
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Entity Type
Organization
Authorized Contact
NATHAN HENRY KNUTSEN
Owning Dentist
414-797-0328
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-07-02
Last Update Date
2019-07-02
Business Address
RACINE TOOTH TOWN DENTISTRY FOR KIDS
3801 WASHINGTON AVE
RACINE, WI 53405-2853
Phone number: 414-949-1938
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Mailing Address
RACINE TOOTH TOWN DENTISTRY FOR KIDS
3801 WASHINGTON AVE
RACINE, WI 53405-2853
Phone number: 414-949-1938
Copy
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