Burlington Dental Health Care S.c.
NPI #1255473435 in Burlington, Wisconsin
Provider Information
- NPI Number
- 1255473435
- Entity Type
- Organization
- Organization Name
- Burlington Dental Health Care S.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 190 GARDNER AVE
- Address 2
- SUITE 4
- City
- Burlington
- State
- Wisconsin
- ZIP Code
- 53105-2160
- Phone
- (262) 763-3012
Authorized Official
- Name
- DR. JOHN EDWARD KNUTSON, DDS
- Title
- PRESIDENT
- Phone
- (262) 763-3012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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