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Organization
DR. ESPINOSA DDS TOOTH OR GUM, LLC
Active
Organization
DR. ESPINOSA DDS TOOTH OR GUM, LLC
Active
Other names
Tooth or Gum LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO ESPINOSA DDS (OWNER)
(262) 673-2288
Entity
Organization
Contact information
Practice address
784 SOUTH MAIN ST, HARTFORD, WI 53027
(262) 673-2288
(262) 673-6244
Mailing address
784 S MAIN ST, HARTFORD, WI 53027-2407
(262) 673-2288
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1001150
WI
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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