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Organization
RONALD C. HARTZER D.D.S.,M.S., PERIODONTICS, LTD.
Active
Organization
RONALD C. HARTZER D.D.S.,M.S., PERIODONTICS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD C. HARTZER D.D.S., M.S. (PRESIDENT)
(847) 244-9000
Entity
Organization
Contact information
Practice address
609 W GREENWOOD AVE, WAUKEGAN, IL 60087-5000
(847) 244-9000
(847) 244-0009
Mailing address
609 W GREENWOOD AVE, WAUKEGAN, IL 60087-5000
(847) 244-9000
(847) 244-0009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019013133
IL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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