| NPI | 1942995667 |
|---|---|
| Doing Business As | TOOTH TOWN DENTISTRY FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | NATHAN KNUTSEN Owner 414-797-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2024-08-19 |