Individual
DR. NATHAN HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1654 BRYAN RD, O FALLON, MO 63368-4897
(636) 978-4848
(636) 978-4862
Mailing address
701 AUTUMNWOOD FOREST DR, LAKE SAINT LOUIS, MO 63367-2651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2008014681
MO
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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