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Organization
DENTISTRY OF WEST BEND, LTD.
Active
Organization
DENTISTRY OF WEST BEND, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED JOHN HARDING DDS (OWNER/DENTIST)
(608) 886-0223
Entity
Organization
Contact information
Practice address
1270 CHESTNUT ST, WEST BEND, WI 53095-3130
(262) 334-0316
Mailing address
1270 CHESTNUT ST, WEST BEND, WI 53095-3130
(262) 334-0316
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6537-15
WI
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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