Individual
DR. JENNIFER HARTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
3001 A SIXTH STREET, GREAT LAKES, IL 60088
(847) 688-2755
Mailing address
107 TEMPLETON ST, LAKE BLUFF, IL 60044-1140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015257
MI
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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