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Individual

DR. GARY ROTHLAND HARTWELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
110 BERGEN ST, UMDNJ-NJDS, C-790, NEWARK, NJ 07103-2495
(973) 972-5329
(973) 972-0328
Mailing address
4107 W FRANKLIN ST, RICHMOND, VA 23221-1107
(804) 353-3175

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
01582
NJ

Other

Enumeration date
04/19/2006
Last updated
07/08/2007
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