Individual
DR. GERALD ALLEN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
225 GUNDERSON DR, PORTAGE, WI 53901-3430
(608) 742-3272
(608) 742-0523
Mailing address
PO BOX 609, PORTAGE, WI 53901-0609
(608) 742-3272
(608) 742-0523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3329
WI
Other
Enumeration date
10/20/2005
Last updated
09/25/2007
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