NPI 1093930380

Richard V. Knoff, DDS

Practitioner Endodontics Wauwatosa, WI

Practice location

Address: 2600 N Mayfair Rd Suite 505, Wauwatosa, WI 53226-1309
Phone: (414) 258-1500
Mailing address: S31w31584 Harvest View Dr, Waukesha, WI 53189-9095

Registered specialties

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence 5001178 (WI)

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Registry record

NPI: 1093930380
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.