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Organization
HARTFORD FAMILY DENTAL CARE, LLC
Active
Organization
HARTFORD FAMILY DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE CHARMOLI RDH, BS (OPERATIONS MANAGER)
(262) 673-2960
Entity
Organization
Contact information
Practice address
73 LIBERTY AVE, HARTFORD, WI 53027-8739
(262) 673-2960
Mailing address
73 LIBERTY AVE, HARTFORD, WI 53027-8739
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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